PENNY LYNN LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066587

License Status

NOT RENEWED

Business

First Name

PENNY LYNN

Last Name

LEWIS

Business Name

PENNY LYNN LEWIS

Original Issue Date

12/24/1976

Effective Date

12/24/1976

Expiration Date

01/01/1997

City

SANDOVAL

State

Zip

62882

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005