GRANT FUGATE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312749

License Status

ACTIVE

Business

First Name

GRANT

Last Name

FUGATE

Business Name

GRANT FUGATE

Original Issue Date

06/04/2024

Effective Date

03/31/2025

Expiration Date

03/31/2026

City

MADISON

State

Zip

53715

Ever Disciplined

LastModifiedDate

01/30/2026