MELISSA MAE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205783

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MAE

Last Name

LEWIS

Business Name

MELISSA MAE LEWIS

Original Issue Date

08/03/2011

Effective Date

08/03/2011

Expiration Date

03/31/2012

City

WATAGA

State

Zip

61488

County

KNOX

Ever Disciplined

LastModifiedDate

05/07/2012