MATASHA MARIE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117268

License Status

NOT RENEWED

Business

First Name

MATASHA

Middle

MARIE

Last Name

LEWIS

Business Name

MATASHA MARIE LEWIS

Original Issue Date

04/16/1997

Effective Date

04/16/1997

Expiration Date

03/31/2004

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005