KAMETRIA DOMONIQUE MCCULLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259279

License Status

NOT RENEWED

Business

First Name

KAMETRIA

Middle

DOMONIQUE

Last Name

MCCULLOUGH

Business Name

KAMETRIA DOMONIQUE MCCULLOUGH

Original Issue Date

08/21/2018

Effective Date

08/21/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019