BRITTANY DIANNE FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259810

License Status

NOT RENEWED

Business

First Name

BRITTANY

Middle

DIANNE

Last Name

FOWLER

Business Name

BRITTANY DIANNE FOWLER

Original Issue Date

09/19/2018

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021