MAGGEN MARIE FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116826

License Status

NOT RENEWED

Business

First Name

MAGGEN

Middle

MARIE

Last Name

FULLER

Business Name

MAGGEN MARIE FULLER

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005