DIANA LEWIS - Pharmacist License in Illinois | # 049061139

DIANA LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061139

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005