AMANDA M FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190334

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

FULLER

Business Name

AMANDA M FULLER

Original Issue Date

03/18/2009

Effective Date

02/17/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011