KEONTE S LEWIS - Pharmacist License in Illinois | # 049163335

KEONTE S LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163335

License Status

NOT RENEWED

Business

N

First Name

KEONTE

Middle

S

Last Name

LEWIS

Business Name

KEONTE S LEWIS

Original Issue Date

08/29/2005

Effective Date

08/29/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007