ANDRA J LEWIS - Pharmacist License in Illinois | # 049214154

ANDRA J LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214154

License Status

NOT RENEWED

Business

N

First Name

ANDRA

Middle

J

Last Name

LEWIS

Business Name

ANDRA J LEWIS

Original Issue Date

10/22/2012

Effective Date

10/22/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013