MICHAEL S LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164237

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

LEWIS

Business Name

MICHAEL S LEWIS

Original Issue Date

09/28/2005

Effective Date

09/28/2005

Expiration Date

03/31/2006

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006