MICHAEL G FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293287

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

FULLER

Business Name

MICHAEL G FULLER

Original Issue Date

05/15/2009

Effective Date

02/18/2020

Expiration Date

07/31/2022

City

ANKENY

State

Zip

50021

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2022