AUGUSTUS DAVID LEWELLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192769

License Status

NOT RENEWED

Business

First Name

AUGUSTUS

Middle

DAVID

Last Name

LEWELLEN

Business Name

AUGUSTUS DAVID LEWELLEN

Original Issue Date

07/01/2009

Effective Date

03/25/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012