ELISA JANE LEWIS - Pharmacist License in Indiana | # 049153697

ELISA JANE LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153697

License Status

NOT RENEWED

Business

N

First Name

ELISA

Middle

JANE

Last Name

LEWIS

Business Name

ELISA JANE LEWIS

Original Issue Date

03/16/2004

Effective Date

04/27/2007

Expiration Date

03/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

05/02/2008