TRACEY JOLINE FULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152056

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

JOLINE

Last Name

FULTON

Business Name

TRACEY JOLINE FULTON

Original Issue Date

11/04/2003

Effective Date

03/12/2015

Expiration Date

03/31/2016

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/20/2016