EREAL LEWIS JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153069

License Status

NOT RENEWED

Business

First Name

EREAL

Last Name

LEWIS

Suffix

Business Name

EREAL LEWIS JR

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

03/31/2005

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005