JACOB R FULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227859

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

FULTON

Business Name

JACOB R FULTON

Original Issue Date

09/16/2014

Effective Date

08/27/2018

Expiration Date

03/31/2019

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/15/2019