LUIS FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247204

License Status

NOT RENEWED

Business

First Name

LUIS

Last Name

FULLER

Business Name

LUIS FULLER

Original Issue Date

12/19/2016

Effective Date

03/16/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018