JONATHAN HERMAN FULGHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166827

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

HERMAN

Last Name

FULGHAM

Business Name

JONATHAN HERMAN FULGHAM

Original Issue Date

03/17/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

05/06/2009