LISA D FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179393

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

FOWLER

Prefix

Business Name

LISA D FOWLER

Original Issue Date

09/24/2007

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

05/06/2013