GLADYS J FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154056

License Status

NOT RENEWED

Business

First Name

GLADYS

Middle

Last Name

FULLER

Business Name

GLADYS J FULLER

Original Issue Date

04/12/2004

Effective Date

04/12/2004

Expiration Date

03/31/2006

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/11/2006