BRENDA LOUISE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148194

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

LOUISE

Last Name

LEWIS

Business Name

BRENDA LOUISE LEWIS

Original Issue Date

04/18/2003

Effective Date

04/18/2003

Expiration Date

03/31/2005

City

NEW ATHENS

State

Zip

62264

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005