LORENA LANISE LEWIS - Pharmacist License in Illinois | # 049177061

LORENA LANISE LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177061

License Status

NOT RENEWED

Business

N

First Name

LORENA

Middle

LANISE

Last Name

LEWIS

Business Name

LORENA LANISE LEWIS

Original Issue Date

06/15/2007

Effective Date

08/08/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023