CRYSTAL CA LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204789

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

LEWIS

Business Name

CRYSTAL CA LEWIS

Original Issue Date

06/14/2011

Effective Date

06/14/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012