LANCE D LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173304

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

Last Name

LEWIS

Business Name

LANCE D LEWIS

Original Issue Date

12/19/2006

Effective Date

12/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007