PAMELA FITZGERALD LUNDQUIST Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039082

License Status

INACTIVE

Business

First Name

PAMELA

Middle

FITZGERALD

Last Name

LUNDQUIST

Business Name

PAMELA FITZGERALD LUNDQUIST

Original Issue Date

10/19/1992

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

PROSPECT

State

Zip

40059

County

KENTUCKY

Ever Disciplined

LastModifiedDate

01/18/2006