TINA R LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149928

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

LEWIS

Business Name

TINA R LEWIS

Original Issue Date

08/19/2003

Effective Date

03/13/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008