NATHAN S FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186811

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

FOWLER

Prefix

Business Name

NATHAN S FOWLER

Original Issue Date

09/04/2008

Effective Date

02/05/2015

Expiration Date

03/31/2016

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016