Lacey Nicole Lewis
ExpiredIllinois license 049138001
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049138001
- Status
- Expired (Not Renewed)
- First issued
- September 10, 2001
- Expired
- March 31, 2005
- License holder
- Lacey Nicole Lewis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/10/2001
Contact
Rantoul, IL 61866
Champaign County