LORAL L LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201065

License Status

NOT RENEWED

Business

First Name

LORAL

Middle

Last Name

LEWIS

Business Name

LORAL L LEWIS

Original Issue Date

10/15/2010

Effective Date

03/02/2012

Expiration Date

03/31/2013

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013