EDEN M LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210805

License Status

NOT RENEWED

Business

First Name

EDEN

Middle

Last Name

LEWIS

Prefix

Business Name

EDEN M LEWIS

Original Issue Date

05/03/2012

Effective Date

03/25/2013

Expiration Date

03/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2014