HAILIE J FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213341

License Status

NOT RENEWED

Business

First Name

HAILIE

Middle

Last Name

FOWLER

Prefix

Business Name

HAILIE J FOWLER

Original Issue Date

09/06/2012

Effective Date

02/19/2013

Expiration Date

03/31/2014

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

05/06/2014