CRYSTAL CA LEWIS - Pharmacist License in Illinois | # 049204789

CRYSTAL CA LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204789

License Status

NOT RENEWED

Business

N

First Name

CRYSTAL

Middle

CA

Last Name

LEWIS

Business Name

CRYSTAL CA LEWIS

Original Issue Date

06/14/2011

Effective Date

06/14/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012