STACEY DULLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246110

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

DULLA

Business Name

STACEY DULLA

Original Issue Date

11/09/2016

Effective Date

11/09/2016

Expiration Date

03/31/2017

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

05/10/2017