ANTONIO G LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250180

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

Last Name

LEWIS

Business Name

ANTONIO G LEWIS

Original Issue Date

04/26/2017

Effective Date

04/26/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018