PATRICIA LEE FUQUA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053865

License Status

NOT RENEWED

Business

First Name

PATRICIA LEE

Last Name

FUQUA

Business Name

PATRICIA LEE FUQUA

Original Issue Date

01/01/1997

Effective Date

01/14/2015

Expiration Date

03/31/2016

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

05/20/2016