JOHN D FULTZ III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130552

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

FULTZ

Suffix

III

Business Name

JOHN D FULTZ III

Original Issue Date

04/14/2000

Effective Date

04/14/2000

Expiration Date

03/31/2005

City

MACHESNEY PARK

State

Zip

61115

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005