Mack Archie Lewis II
ExpiredIllinois license 049083330
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049083330
- Status
- Expired (Not Renewed)
- First issued
- September 15, 1986
- Expired
- March 31, 2000
- License holder
- Mack Archie Lewis II
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/15/1986
Contact
Belleville, IL 62226
Saint Clair County