MYA J FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280040

License Status

NOT RENEWED

Business

First Name

MYA

Middle

Last Name

FOWLER

Business Name

MYA J FOWLER

Original Issue Date

03/02/2021

Effective Date

03/02/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022