KENT CHARLES LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084691

License Status

NOT RENEWED

Business

First Name

KENT CHARLES

Last Name

LEWIS

Business Name

KENT CHARLES LEWIS

Original Issue Date

07/13/1987

Effective Date

07/13/1987

Expiration Date

03/31/1988

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005