EDWARD E BULLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238084

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

BULLOCK

Business Name

EDWARD E BULLOCK

Original Issue Date

12/02/2015

Effective Date

12/02/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016