JOEL D FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181820

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

Last Name

FULLER

Prefix

Business Name

JOEL D FULLER

Original Issue Date

01/30/2008

Effective Date

01/30/2008

Expiration Date

03/31/2009

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009