JONATHAN HERMAN FULGHAM - Pharmacist License in Illinois | # 049166827

JONATHAN HERMAN FULGHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166827

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009