INA L FULTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096460

License Status

NOT RENEWED

Business

First Name

INA L

Last Name

FULTZ

Business Name

INA L FULTZ

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

03/31/1993

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1993001293

Action

Revocation

Discipline Start Date

10/24/1994

Discipline Reason

Convicted of a felony controlled substance charge.