JAMIE J FULK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137061

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

FULK

Business Name

JAMIE J FULK

Original Issue Date

07/03/2001

Effective Date

07/03/2001

Expiration Date

03/31/2002

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005