JUSTIN THOMAS SHULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235644

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

THOMAS

Last Name

SHULA

Business Name

JUSTIN THOMAS SHULA

Original Issue Date

08/20/2015

Effective Date

02/24/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018