MALLORY A FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051297808

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

FOWLER

Business Name

MALLORY A FOWLER

Original Issue Date

08/14/2014

Effective Date

08/19/2022

Expiration Date

03/31/2024

City

BRANDON

State

Zip

33510

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025