KELSEY MARIE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208820

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

MARIE

Last Name

LEWIS

Business Name

KELSEY MARIE LEWIS

Original Issue Date

01/19/2012

Effective Date

03/21/2016

Expiration Date

03/31/2017

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/10/2017