LESLIE A FULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166167

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

FULTON

Business Name

LESLIE A FULTON

Original Issue Date

01/19/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008