CORINNE M PUCHALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208077

License Status

NOT RENEWED

Business

First Name

CORINNE

Middle

Last Name

PUCHALLA

Prefix

Business Name

CORINNE M PUCHALLA

Original Issue Date

12/01/2011

Effective Date

02/25/2016

Expiration Date

03/31/2017

City

BREEZY POINT

State

Zip

56472

Ever Disciplined

LastModifiedDate

05/10/2017