JEFF ALAN BULTEMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198476

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

ALAN

Last Name

BULTEMA

Business Name

JEFF ALAN BULTEMA

Original Issue Date

05/20/2010

Effective Date

02/23/2011

Expiration Date

03/31/2012

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012