SAMARA NICOLE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172889

License Status

NOT RENEWED

Business

First Name

SAMARA

Middle

NICOLE

Last Name

LEWIS

Business Name

SAMARA NICOLE LEWIS

Original Issue Date

11/30/2006

Effective Date

11/30/2006

Expiration Date

03/31/2007

City

JEANERETTE

State

Zip

70544

County

LOUISIANA

Ever Disciplined

LastModifiedDate

05/14/2007