KELLY M LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080111

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

LEWIS

Business Name

KELLY M LEWIS

Original Issue Date

08/06/1984

Effective Date

08/06/1984

Expiration Date

03/31/1986

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005