KYLE T LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146059

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

LEWIS

Business Name

KYLE T LEWIS

Original Issue Date

11/22/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/14/2007