DIANNA GAYLE FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066969

License Status

NOT RENEWED

Business

First Name

DIANNA GAYLE

Last Name

FOWLER

Business Name

DIANNA GAYLE FOWLER

Original Issue Date

03/25/1977

Effective Date

03/25/1977

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005