NATHAN D FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184824

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

FULLER

Prefix

Business Name

NATHAN D FULLER

Original Issue Date

06/10/2008

Effective Date

06/10/2008

Expiration Date

03/31/2009

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

05/06/2009