KELLY S LEWIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040823

License Status

NOT RENEWED

Business

First Name

KELLY S

Last Name

LEWIS

Business Name

KELLY S LEWIS

Original Issue Date

07/01/1996

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006