KATHY I T ELLERBROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050375

License Status

NOT RENEWED

Business

First Name

KATHY I T

Last Name

ELLERBROCK

Business Name

KATHY I T ELLERBROCK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005