MICHAEL KEVIN FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124894

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

KEVIN

Last Name

FOWLER

Business Name

MICHAEL KEVIN FOWLER

Original Issue Date

03/04/1999

Effective Date

03/04/1999

Expiration Date

03/31/2002

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005