ALICIA AILLENE FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186787

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

AILLENE

Last Name

FULLER

Business Name

ALICIA AILLENE FULLER

Original Issue Date

09/03/2008

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010