JAKE MICHAEL FULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147711

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

MICHAEL

Last Name

FULTON

Business Name

JAKE MICHAEL FULTON

Original Issue Date

03/31/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

HUNTLEY

State

Zip

60142

Ever Disciplined

LastModifiedDate

05/06/2009