MARY D LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098734

License Status

NOT RENEWED

Business

First Name

MARY D

Last Name

LEWIS

Business Name

MARY D LEWIS

Original Issue Date

11/19/1991

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/12/2011