AUGUSTUS DAVID LEWELLEN - Pharmacist License in Illinois | # 049192769

AUGUSTUS DAVID LEWELLEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192769

License Status

NOT RENEWED

Business

N

First Name

AUGUSTUS

Middle

DAVID

Last Name

LEWELLEN

Business Name

AUGUSTUS DAVID LEWELLEN

Original Issue Date

07/01/2009

Effective Date

03/25/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012