LILY FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213856

License Status

NOT RENEWED

Business

First Name

LILY

Last Name

FOWLER

Business Name

LILY FOWLER

Original Issue Date

10/03/2012

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014