KELLY M LEWIS - Pharmacist License in Illinois | # 049080111

KELLY M LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080111

License Status

NOT RENEWED

Business

N

First Name

KELLY M

Last Name

LEWIS

Business Name

KELLY M LEWIS

Original Issue Date

08/06/1984

Effective Date

08/06/1984

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005