CHAD DOUGLAS ULLOM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293421

License Status

INACTIVE

Business

First Name

CHAD

Middle

DOUGLAS

Last Name

ULLOM

Business Name

CHAD DOUGLAS ULLOM

Original Issue Date

06/26/2009

Effective Date

03/05/2014

Expiration Date

03/31/2016

City

TOPEKA

State

Zip

66611

County

KANSAS

Ever Disciplined

LastModifiedDate

01/28/2016