JACOB L LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049018556

License Status

NOT RENEWED

Business

First Name

JACOB L

Last Name

LEWIS

Business Name

JACOB L LEWIS

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005