VAUGHNSHAEY LYDELL FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130138

License Status

NOT RENEWED

Business

First Name

VAUGHNSHAEY

Middle

LYDELL

Last Name

FOWLER

Business Name

VAUGHNSHAEY LYDELL FOWLER

Original Issue Date

03/21/2000

Effective Date

03/21/2000

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005