PHYLLIS C LEWIS - Pharmacist License in Illinois | # 049179184

PHYLLIS C LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179184

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

C

Last Name

LEWIS

Business Name

PHYLLIS C LEWIS

Original Issue Date

09/13/2007

Effective Date

09/13/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008