BREONNA PHILLIS CHRISTINA LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247996

License Status

NOT RENEWED

Business

First Name

BREONNA

Middle

PHILLIS CHRISTINA

Last Name

LEWIS

Business Name

BREONNA PHILLIS CHRISTINA LEWIS

Original Issue Date

01/24/2017

Effective Date

02/20/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019