TYKA R FULLER - Pharmacist License in Illinois | # 049156335

TYKA R FULLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156335

License Status

NOT RENEWED

Business

N

First Name

TYKA

Middle

R

Last Name

FULLER

Business Name

TYKA R FULLER

Original Issue Date

07/29/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008