CHRISTA R FUQUA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193022

License Status

NOT RENEWED

Business

First Name

CHRISTA

Middle

Last Name

FUQUA

Business Name

CHRISTA R FUQUA

Original Issue Date

07/15/2009

Effective Date

03/30/2015

Expiration Date

03/31/2016

City

GOLDEN

State

Zip

62339

County

ADAMS

Ever Disciplined

LastModifiedDate

05/20/2016