MICHAEL D LEWSADER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156154

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

LEWSADER

Business Name

MICHAEL D LEWSADER

Original Issue Date

07/23/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/14/2007