DORMA HARRIETT LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115671

License Status

NOT RENEWED

Business

First Name

DORMA HARRIETT

Last Name

LEWIS

Business Name

DORMA HARRIETT LEWIS

Original Issue Date

10/23/1996

Effective Date

03/22/2016

Expiration Date

03/31/2017

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017