TRAVIS D FULLERTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099023

License Status

NOT RENEWED

Business

First Name

TRAVIS D

Last Name

FULLERTON

Business Name

TRAVIS D FULLERTON

Original Issue Date

12/30/1991

Effective Date

12/30/1991

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005