TRACY ELAINE FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131832

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

ELAINE

Last Name

FULLER

Business Name

TRACY ELAINE FULLER

Original Issue Date

07/27/2000

Effective Date

07/27/2000

Expiration Date

03/31/2001

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005