LISA R FULCHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169064

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

FULCHER

Business Name

LISA R FULCHER

Original Issue Date

06/05/2006

Effective Date

03/14/2017

Expiration Date

03/31/2018

City

HARTFORD

State

Zip

62048

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018