XAVIAN AMEIR FULLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274198

License Status

NOT RENEWED

Business

First Name

XAVIAN

Middle

AMEIR

Last Name

FULLER

Business Name

XAVIAN AMEIR FULLER

Original Issue Date

07/10/2020

Effective Date

07/10/2020

Expiration Date

03/31/2021

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/20/2021