HALEY TYNE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295010

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

TYNE

Last Name

LEWIS

Business Name

HALEY TYNE LEWIS

Original Issue Date

08/15/2022

Effective Date

04/05/2023

Expiration Date

03/31/2024

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/03/2025