EMILY DIANE FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155072

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

DIANE

Last Name

FULLER

Business Name

EMILY DIANE FULLER

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

03/31/2005

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/20/2005