PHYLLIS C LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179184

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

LEWIS

Business Name

PHYLLIS C LEWIS

Original Issue Date

09/13/2007

Effective Date

09/13/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008