STACY R LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148071

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

LEWIS

Business Name

STACY R LEWIS

Original Issue Date

04/16/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

HODGKINS

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008