MACK ARCHIE LEWIS II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083330

License Status

NOT RENEWED

Business

First Name

MACK

Last Name

ARCHIE LEWIS II

Business Name

MACK ARCHIE LEWIS II

Original Issue Date

09/15/1986

Effective Date

09/15/1986

Expiration Date

03/31/2000

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005