KATE AMANDA LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149788

License Status

NOT RENEWED

Business

First Name

KATE

Middle

AMANDA

Last Name

LEWIS

Business Name

KATE AMANDA LEWIS

Original Issue Date

08/13/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/02/2008