JEFF A FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134573

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

Last Name

FULLER

Business Name

JEFF A FULLER

Original Issue Date

02/21/2001

Effective Date

02/21/2001

Expiration Date

03/31/2002

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005