JENNIFER MARIE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173059

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

LEWIS

Business Name

JENNIFER MARIE LEWIS

Original Issue Date

12/11/2006

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/07/2012