MICHAEL JON FOWLER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029305

License Status

INACTIVE

Business

First Name

MICHAEL JON

Last Name

FOWLER

Business Name

MICHAEL JON FOWLER

Original Issue Date

08/18/1972

Effective Date

08/18/1972

Expiration Date

03/31/1994

City

COLORADO SPRINGS

State

Zip

80906

County

COLORADO

Ever Disciplined

LastModifiedDate

10/17/2005