DESTINY TATIANA FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252177

License Status

NOT RENEWED

Business

First Name

DESTINY

Middle

TATIANA

Last Name

FOWLER

Business Name

DESTINY TATIANA FOWLER

Original Issue Date

08/03/2017

Effective Date

08/03/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018