NATHAN B FULK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189519

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

FULK

Business Name

NATHAN B FULK

Original Issue Date

02/05/2009

Effective Date

02/05/2009

Expiration Date

03/31/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2010

Case Number

2010002483

Action

Refuse To Renew

Discipline Start Date

05/07/2010

Discipline Reason

for being more than 30 days delinquent in the payment of child support.