JACQUELINE B BULLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256904

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

BULLOCK

Business Name

JACQUELINE B BULLOCK

Original Issue Date

03/21/2018

Effective Date

01/23/2019

Expiration Date

09/30/2020

City

DELAVAN

State

Zip

53115

Ever Disciplined

LastModifiedDate

01/08/2021