MARY ALICE ULLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164399

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ALICE

Last Name

ULLMAN

Business Name

MARY ALICE ULLMAN

Original Issue Date

10/06/2005

Effective Date

10/06/2005

Expiration Date

03/31/2006

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006