CASEY JOHN FOWLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120705

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

JOHN

Last Name

FOWLER

Business Name

CASEY JOHN FOWLER

Original Issue Date

04/22/1998

Effective Date

04/22/1998

Expiration Date

03/31/2001

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005