BARRY A ULM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032766

License Status

INACTIVE

Business

First Name

BARRY A

Last Name

ULM

Business Name

BARRY A ULM

Original Issue Date

08/07/1979

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/04/2020