KRISTIE L FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092831

License Status

NOT RENEWED

Business

First Name

KRISTIE L

Last Name

FULLER

Business Name

KRISTIE L FULLER

Original Issue Date

04/19/1990

Effective Date

04/19/1990

Expiration Date

03/31/1998

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005