SHAIENNE C LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229502

License Status

NOT RENEWED

Business

First Name

SHAIENNE

Middle

Last Name

LEWIS

Business Name

SHAIENNE C LEWIS

Original Issue Date

11/24/2014

Effective Date

11/24/2014

Expiration Date

03/31/2015

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/11/2015