SHANA MARINE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305091

License Status

NOT RENEWED

Business

First Name

SHANA

Middle

MARINE

Last Name

LEWIS

Business Name

SHANA MARINE LEWIS

Original Issue Date

08/22/2023

Effective Date

08/22/2023

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025