DEIADRA Y LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081576

License Status

NOT RENEWED

Business

First Name

DEIADRA Y

Last Name

LEWIS

Business Name

DEIADRA Y LEWIS

Original Issue Date

09/03/1985

Effective Date

03/03/2016

Expiration Date

03/31/2017

City

EAST SAINT LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017