TRACIE L LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141626

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

Last Name

LEWIS

Business Name

TRACIE L LEWIS

Original Issue Date

04/01/2002

Effective Date

04/01/2002

Expiration Date

03/31/2003

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005