SIERRA R FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201765

License Status

NOT RENEWED

Business

First Name

SIERRA

Middle

Last Name

FOWLER

Prefix

Business Name

SIERRA R FOWLER

Original Issue Date

12/02/2010

Effective Date

12/02/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011