DENISE M FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140122

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

FULLER

Business Name

DENISE M FULLER

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005