LEWIS T DEJAEGHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172420

License Status

NOT RENEWED

Business

First Name

LEWIS

Middle

Last Name

DEJAEGHER

Business Name

LEWIS T DEJAEGHER

Original Issue Date

11/09/2006

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/07/2012