MEDINA W LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170017

License Status

NOT RENEWED

Business

First Name

MEDINA

Middle

Last Name

LEWIS

Business Name

MEDINA W LEWIS

Original Issue Date

07/14/2006

Effective Date

07/14/2006

Expiration Date

03/31/2007

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007