JANE MARIE MCCULLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218865

License Status

NOT RENEWED

Business

First Name

JANE

Middle

MARIE

Last Name

MCCULLOUGH

Business Name

JANE MARIE MCCULLOUGH

Original Issue Date

06/19/2013

Effective Date

02/20/2019

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2021