AMANDA RAE BULLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201913

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

RAE

Last Name

BULLOCK

Business Name

AMANDA RAE BULLOCK

Original Issue Date

12/14/2010

Effective Date

03/12/2013

Expiration Date

03/31/2014

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014