SCOTT TRAVIS LEWELLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254183

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

TRAVIS

Last Name

LEWELLEN

Business Name

SCOTT TRAVIS LEWELLEN

Original Issue Date

11/06/2017

Effective Date

11/06/2017

Expiration Date

03/31/2018

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

06/19/2018