TAD E LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110354

License Status

NOT RENEWED

Business

First Name

TAD E

Last Name

LEWIS

Business Name

TAD E LEWIS

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

03/31/1997

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005