FEKADU FULLAS PHD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112201

License Status

NOT RENEWED

Business

First Name

FEKADU

Last Name

FULLAS

Suffix

PHD

Business Name

FEKADU FULLAS PHD

Original Issue Date

10/25/1995

Effective Date

10/25/1995

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005