JILL ELOISE FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061356

License Status

NOT RENEWED

Business

First Name

JILL ELOISE

Last Name

FOWLER

Business Name

JILL ELOISE FOWLER

Original Issue Date

04/26/1974

Effective Date

04/26/1974

Expiration Date

01/01/1997

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005