KYLIE MICHELLE FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229420

License Status

NOT RENEWED

Business

First Name

KYLIE

Middle

MICHELLE

Last Name

FULLER

Business Name

KYLIE MICHELLE FULLER

Original Issue Date

11/20/2014

Effective Date

02/17/2016

Expiration Date

03/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

12/16/2019