HALEY SUE ANN FULLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305216

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

SUE ANN

Last Name

FULLEN

Business Name

HALEY SUE ANN FULLEN

Original Issue Date

08/28/2023

Effective Date

08/28/2023

Expiration Date

03/31/2024

City

MAPLETON

State

Zip

61547

Ever Disciplined

LastModifiedDate

01/03/2025