DAVID MICHAEL FULLER - Pharmacist License in Illinois | # 049211154

DAVID MICHAEL FULLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211154

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

MICHAEL

Last Name

FULLER

Business Name

DAVID MICHAEL FULLER

Original Issue Date

05/18/2012

Effective Date

01/08/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014