DAKODA J FULLER - Pharmacist License in Illinois | # 049274028

DAKODA J FULLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274028

License Status

NOT RENEWED

Business

N

First Name

DAKODA

Middle

J

Last Name

FULLER

Business Name

DAKODA J FULLER

Original Issue Date

06/30/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022