BRIAN STEPHEN FULKA - Pharmacist License in Illinois | # 049137756

BRIAN STEPHEN FULKA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137756

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

STEPHEN

Last Name

FULKA

Business Name

BRIAN STEPHEN FULKA

Original Issue Date

08/15/2001

Effective Date

08/15/2001

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005