CONNIE ELLEN LEWIS - Pharmacist License in Illinois | # 049116397

CONNIE ELLEN LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116397

License Status

NOT RENEWED

Business

N

First Name

CONNIE ELLEN

Last Name

LEWIS

Business Name

CONNIE ELLEN LEWIS

Original Issue Date

01/30/1997

Effective Date

01/30/1997

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005