BRANDEN SIMON GULLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247905

License Status

NOT RENEWED

Business

First Name

BRANDEN

Middle

SIMON

Last Name

GULLA

Business Name

BRANDEN SIMON GULLA

Original Issue Date

01/19/2017

Effective Date

03/22/2021

Expiration Date

05/31/2022

City

WEST BLOOMFIELD

State

Zip

48322

Ever Disciplined

LastModifiedDate

07/27/2022