DAKODA J FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274028

License Status

NOT RENEWED

Business

First Name

DAKODA

Middle

Last Name

FULLER

Business Name

DAKODA J FULLER

Original Issue Date

06/30/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022