THOMAS L LEWELLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031501

License Status

NOT RENEWED

Business

First Name

THOMAS L

Last Name

LEWELLEN

Business Name

THOMAS L LEWELLEN

Original Issue Date

07/20/1977

Effective Date

07/20/1977

Expiration Date

01/01/1997

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005