MACK ARCHIE LEWIS II - Pharmacist License in Illinois | # 049083330

MACK ARCHIE LEWIS II

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083330

License Status

NOT RENEWED

Business

N

First Name

MACK

Last Name

ARCHIE LEWIS II

Business Name

MACK ARCHIE LEWIS II

Original Issue Date

09/15/1986

Effective Date

09/15/1986

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005