LATASHA DENISE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149316

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

DENISE

Last Name

LEWIS

Business Name

LATASHA DENISE LEWIS

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

03/31/2004

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005