DIANA LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061139

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

LEWIS

Business Name

DIANA LEWIS

Original Issue Date

03/15/1974

Effective Date

03/15/1974

Expiration Date

03/31/1982

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005