RANDEL J LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058162

License Status

NOT RENEWED

Business

First Name

RANDEL J

Last Name

LEWIS

Business Name

RANDEL J LEWIS

Original Issue Date

08/01/1972

Effective Date

08/01/1972

Expiration Date

01/01/1997

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

10/17/2005