Xavian Ameir Fuller
ExpiredIllinois license 049274198
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049274198
- Status
- Expired (Not Renewed)
- First issued
- July 10, 2020
- Expired
- March 31, 2021
- License holder
- Xavian Ameir Fuller
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/10/2020
Contact
Carbondale, IL 62901
Jackson County