TAD E LEWIS - Pharmacist License in Illinois | # 049110354

TAD E LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110354

License Status

NOT RENEWED

Business

N

First Name

TAD E

Last Name

LEWIS

Business Name

TAD E LEWIS

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005