CHRISTINE LYNN FULFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120218

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

LYNN

Last Name

FULFORD

Business Name

CHRISTINE LYNN FULFORD

Original Issue Date

03/05/1998

Effective Date

03/05/1998

Expiration Date

03/31/2001

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005