MARK D FULFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035890

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

FULFORD

Business Name

MARK D FULFORD

Original Issue Date

09/12/1985

Effective Date

09/12/1985

Expiration Date

03/31/2004

City

COLORADO SPRINGS

State

Zip

80906

Ever Disciplined

LastModifiedDate

12/06/2005