MICHELLE A FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063195

License Status

NOT RENEWED

Business

First Name

MICHELLE A

Last Name

FULLER

Business Name

MICHELLE A FULLER

Original Issue Date

03/28/1975

Effective Date

03/28/1975

Expiration Date

03/31/1984

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005