THERESA L BULLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177673

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

BULLIS

Business Name

THERESA L BULLIS

Original Issue Date

07/10/2007

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011