CHANNEL L FULLER - Pharmacist License in Illinois | # 049197627

CHANNEL L FULLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197627

License Status

NOT RENEWED

Business

N

First Name

CHANNEL

Middle

L

Last Name

FULLER

Business Name

CHANNEL L FULLER

Original Issue Date

04/02/2010

Effective Date

04/12/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013