CAROLYN LAVONNE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060099

License Status

NOT RENEWED

Business

First Name

CAROLYN LAVONNE

Last Name

LEWIS

Business Name

CAROLYN LAVONNE LEWIS

Original Issue Date

08/17/1973

Effective Date

08/17/1973

Expiration Date

01/01/1997

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005