KEVIN WESLEY LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125330

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

WESLEY

Last Name

LEWIS

Business Name

KEVIN WESLEY LEWIS

Original Issue Date

04/07/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/14/2007