STACI M LEWIS - Pharmacist License in Illinois | # 049140181

STACI M LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140181

License Status

NOT RENEWED

Business

N

First Name

STACI

Middle

M

Last Name

LEWIS

Business Name

STACI M LEWIS

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005