AMY C FULTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098577

License Status

NOT RENEWED

Business

First Name

AMY C

Last Name

FULTS

Business Name

AMY C FULTS

Original Issue Date

11/05/1991

Effective Date

11/05/1991

Expiration Date

03/31/1997

City

NEW ATHENS

State

Zip

62264

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005