SHINITA M FULTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140682

License Status

NOT RENEWED

Business

First Name

SHINITA

Middle

Last Name

FULTZ

Business Name

SHINITA M FULTZ

Original Issue Date

02/15/2002

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022