CHANNEL L FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197627

License Status

NOT RENEWED

Business

First Name

CHANNEL

Middle

Last Name

FULLER

Business Name

CHANNEL L FULLER

Original Issue Date

04/02/2010

Effective Date

04/12/2012

Expiration Date

03/31/2013

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013