COLLEEN M LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209645

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

LEWIS

Prefix

Business Name

COLLEEN M LEWIS

Original Issue Date

03/08/2012

Effective Date

02/25/2016

Expiration Date

03/31/2017

City

GILBERTS

State

Zip

60136

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017