MARK A LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071070

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

LEWIS

Business Name

MARK A LEWIS

Original Issue Date

04/27/1979

Effective Date

04/27/1979

Expiration Date

01/01/1997

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005