RUSSELL G FULFS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111116

License Status

NOT RENEWED

Business

First Name

RUSSELL G

Last Name

FULFS

Business Name

RUSSELL G FULFS

Original Issue Date

07/14/1995

Effective Date

07/14/1995

Expiration Date

03/31/1996

City

BOLINGBROOKS

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005