CHARLENE LADORA LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065628

License Status

NOT RENEWED

Business

First Name

CHARLENE LADORA

Last Name

LEWIS

Business Name

CHARLENE LADORA LEWIS

Original Issue Date

06/25/1976

Effective Date

06/25/1976

Expiration Date

03/31/1984

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005