MICHAEL P LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143516

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

LEWIS

Business Name

MICHAEL P LEWIS

Original Issue Date

07/03/2002

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022