Matasha Marie Lewis
ExpiredIllinois license 049117268
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049117268
- Status
- Expired (Not Renewed)
- First issued
- April 16, 1997
- Expired
- March 31, 2004
- License holder
- Matasha Marie Lewis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/16/1997
Contact
Dolton, IL 60419
Cook County