MARY C FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125233

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

FULLER

Business Name

MARY C FULLER

Original Issue Date

03/30/1999

Effective Date

03/30/1999

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005