STACEY LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138954

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

LEWIS

Business Name

STACEY LEWIS

Original Issue Date

11/01/2001

Effective Date

11/01/2001

Expiration Date

03/31/2002

City

GARDEN RIDGE

State

Zip

78266

Ever Disciplined

LastModifiedDate

12/06/2005