BREANNA MARIE FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269024

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

MARIE

Last Name

FULLER

Business Name

BREANNA MARIE FULLER

Original Issue Date

11/06/2019

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022