CASEY JOHN FOWLER - Pharmacist License in Wisconsin | # 049120705

CASEY JOHN FOWLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120705

License Status

NOT RENEWED

Business

N

First Name

CASEY

Middle

JOHN

Last Name

FOWLER

Business Name

CASEY JOHN FOWLER

Original Issue Date

04/22/1998

Effective Date

04/22/1998

Expiration Date

03/31/2001

State

WI

Ever Disciplined

N

LastModifiedDate

10/21/2005