PENNY S FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098409

License Status

NOT RENEWED

Business

First Name

PENNY S

Last Name

FOWLER

Business Name

PENNY S FOWLER

Original Issue Date

10/17/1991

Effective Date

10/17/1991

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005