GEORGETTE T LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157968

License Status

NOT RENEWED

Business

First Name

GEORGETTE

Middle

Last Name

LEWIS

Business Name

GEORGETTE T LEWIS

Original Issue Date

11/19/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/14/2007