MARY SUZANNE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057640

License Status

NOT RENEWED

Business

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

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005