LEWIS D SMITH II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188453

License Status

NOT RENEWED

Business

First Name

LEWIS

Middle

Last Name

SMITH

Suffix

Business Name

LEWIS D SMITH II

Original Issue Date

12/01/2008

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/20/2021