David Michael Fuller
ExpiredIllinois license 049211154
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049211154
- Status
- Expired (Not Renewed)
- First issued
- May 18, 2012
- Expired
- March 31, 2014
- License holder
- David Michael Fuller
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/08/2013
Contact
Bloomington, IL 61701
McLean County