BUFORD MARSHALL FUQUA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132663

License Status

NOT RENEWED

Business

First Name

BUFORD

Middle

MARSHALL

Last Name

FUQUA

Business Name

BUFORD MARSHALL FUQUA

Original Issue Date

09/14/2000

Effective Date

09/14/2000

Expiration Date

03/31/2003

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005