SALLIE LEWIS - Pharmacist License in Illinois | # 049115482

SALLIE LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115482

License Status

NOT RENEWED

Business

N

First Name

SALLIE

Last Name

LEWIS

Business Name

SALLIE LEWIS

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005