LEWIS GLENN BLAIR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025171

License Status

NOT RENEWED

Business

First Name

LEWIS GLENN

Last Name

BLAIR

Business Name

LEWIS GLENN BLAIR

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ELKHART

State

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005