LORI A FULLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073247

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

FULLAS

Business Name

LORI A FULLAS

Original Issue Date

07/03/1980

Effective Date

07/03/1980

Expiration Date

03/31/1998

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005