MARY SUZANNE ELLIS - Pharmacist License in Illinois | # 049057640

MARY SUZANNE ELLIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057640

License Status

NOT RENEWED

Business

N

First Name

MARY SUZANNE

Last Name

ELLIS

Business Name

MARY SUZANNE ELLIS

Original Issue Date

05/02/1972

Effective Date

05/02/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005