STACEY LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259184

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

LEWIS

Business Name

STACEY LEWIS

Original Issue Date

08/15/2018

Effective Date

08/15/2018

Expiration Date

03/31/2019

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/27/2021