TREVELL DIONTE LEWIS - Pharmacist License in Illinois | # 049198571

TREVELL DIONTE LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198571

License Status

NOT RENEWED

Business

N

First Name

TREVELL

Middle

DIONTE

Last Name

LEWIS

Business Name

TREVELL DIONTE LEWIS

Original Issue Date

05/27/2010

Effective Date

05/27/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011