KENNETH P ELLISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059453

License Status

NOT RENEWED

Business

First Name

KENNETH P

Last Name

ELLISON

Business Name

KENNETH P ELLISON

Original Issue Date

05/07/1973

Effective Date

05/07/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005