JERRY L LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116695

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

LEWIS

Business Name

JERRY L LEWIS

Original Issue Date

03/05/1997

Effective Date

03/05/1997

Expiration Date

03/31/2001

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

10/21/2005