MALLORY A FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198136

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

FOWLER

Business Name

MALLORY A FOWLER

Original Issue Date

05/02/2010

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

BRANDON

State

Zip

33510

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015