TREVELL DIONTE LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198571

License Status

NOT RENEWED

Business

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

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011