TYLER J LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268917

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

Last Name

LEWIS

Business Name

TYLER J LEWIS

Original Issue Date

10/30/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021