ANTWANESE PAULETT FULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254184

License Status

NOT RENEWED

Business

First Name

ANTWANESE

Middle

PAULETT

Last Name

FULTON

Business Name

ANTWANESE PAULETT FULTON

Original Issue Date

11/06/2017

Effective Date

03/06/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021