TIA SHALAYE HULL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136395

License Status

NOT RENEWED

Business

First Name

TIA

Middle

SHALAYE

Last Name

HULL

Business Name

TIA SHALAYE HULL

Original Issue Date

05/22/2001

Effective Date

05/22/2001

Expiration Date

03/31/2004

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005