DEBRA S FULTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195210

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

FULTS

Business Name

DEBRA S FULTS

Original Issue Date

11/09/2009

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011