NICKOLAS J FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195933

License Status

NOT RENEWED

Business

First Name

NICKOLAS

Middle

Last Name

FOWLER

Prefix

Business Name

NICKOLAS J FOWLER

Original Issue Date

12/18/2009

Effective Date

12/18/2009

Expiration Date

03/31/2010

City

JACKSON

State

Zip

39211

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

05/04/2010