TYKA R FULLER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291990

License Status

ACTIVE

Business

First Name

TYKA

Middle

Last Name

FULLER

Business Name

TYKA R FULLER

Original Issue Date

08/14/2007

Effective Date

02/02/2026

Expiration Date

03/31/2028

City

COFFEEN

State

Zip

62017

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

02/02/2026