JACOB L LEWIS - Pharmacist License in Illinois | # 049018556

JACOB L LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049018556

License Status

NOT RENEWED

Business

N

First Name

JACOB L

Last Name

LEWIS

Business Name

JACOB L LEWIS

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005