LISA ANN FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175195

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

FULLER

Business Name

LISA ANN FULLER

Original Issue Date

03/29/2007

Effective Date

03/29/2007

Expiration Date

03/31/2008

City

CEDAR RAPIDS

State

Zip

52402

County

IOWA

Ever Disciplined

LastModifiedDate

05/02/2008