CAGNEY C FULLENWILDER - Pharmacist License in Illinois | # 049147778

CAGNEY C FULLENWILDER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147778

License Status

NOT RENEWED

Business

N

First Name

CAGNEY

Middle

C

Last Name

FULLENWILDER

Business Name

CAGNEY C FULLENWILDER

Original Issue Date

04/02/2003

Effective Date

04/02/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005