NICOLE A LEWIS - Pharmacist License in Illinois | # 049180320

NICOLE A LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180320

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

A

Last Name

LEWIS

Business Name

NICOLE A LEWIS

Original Issue Date

11/01/2007

Effective Date

11/01/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008