LAURA DENISE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133318

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

DENISE

Last Name

LEWIS

Business Name

LAURA DENISE LEWIS

Original Issue Date

10/23/2000

Effective Date

03/21/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015