MARY E LEWELLYN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059110

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

LEWELLYN

Business Name

MARY E LEWELLYN

Original Issue Date

02/26/1973

Effective Date

02/26/1973

Expiration Date

03/31/1984

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005