MARK KENNETH LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032117

License Status

NOT RENEWED

Business

First Name

MARK KENNETH

Last Name

LEWIS

Business Name

MARK KENNETH LEWIS

Original Issue Date

07/27/1978

Effective Date

03/09/2018

Expiration Date

09/30/2020

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021