LATONYA MICHELLE FULKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255149

License Status

NOT RENEWED

Business

First Name

LATONYA

Middle

MICHELLE

Last Name

FULKS

Business Name

LATONYA MICHELLE FULKS

Original Issue Date

12/21/2017

Effective Date

12/21/2017

Expiration Date

03/31/2018

City

JACKSON

State

Zip

39209

Ever Disciplined

LastModifiedDate

06/19/2018