CAROLYN A LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157273

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

LEWIS

Business Name

CAROLYN A LEWIS

Original Issue Date

10/01/2004

Effective Date

10/01/2004

Expiration Date

03/31/2006

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006