CRYSTAL ANITRA LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144266

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

ANITRA

Last Name

LEWIS

Business Name

CRYSTAL ANITRA LEWIS

Original Issue Date

08/22/2002

Effective Date

08/22/2002

Expiration Date

03/31/2004

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005