AUTUMN FULK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049325448

License Status

ACTIVE

Business

First Name

AUTUMN

Last Name

FULK

Business Name

AUTUMN FULK

Original Issue Date

11/03/2025

Effective Date

03/11/2026

Expiration Date

03/31/2027

City

SPRINGFIELD

State

Zip

62702

Ever Disciplined

LastModifiedDate

03/11/2026