SHANE CONWAY LEWIS - Pharmacist License in Illinois | # 049273152

SHANE CONWAY LEWIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273152

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

CONWAY

Last Name

LEWIS

Business Name

SHANE CONWAY LEWIS

Original Issue Date

05/08/2020

Effective Date

07/16/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022