ALEXIS M FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220184

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

Last Name

FOWLER

Business Name

ALEXIS M FOWLER

Original Issue Date

08/21/2013

Effective Date

08/21/2013

Expiration Date

03/31/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014