KASANDA MICHELLE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161875

License Status

NOT RENEWED

Business

First Name

KASANDA

Middle

MICHELLE

Last Name

LEWIS

Business Name

KASANDA MICHELLE LEWIS

Original Issue Date

06/23/2005

Effective Date

06/23/2005

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006