LANCE MONROE FULK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271979

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

MONROE

Last Name

FULK

Business Name

LANCE MONROE FULK

Original Issue Date

03/25/2020

Effective Date

03/25/2020

Expiration Date

03/31/2021

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

07/20/2021