ADAM D LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148705

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

LEWIS

Business Name

ADAM D LEWIS

Original Issue Date

06/04/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WATERFORD

State

Zip

53185

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/14/2007