STACY M LULICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166450

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

LULICH

Business Name

STACY M LULICH

Original Issue Date

02/07/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2009