BLAKE N FULTON - Pharmacist License in Illinois | # 049234234

BLAKE N FULTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234234

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Middle

N

Last Name

FULTON

Business Name

BLAKE N FULTON

Original Issue Date

07/03/2015

Effective Date

07/03/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016