MICHAEL ELLENS - Pharmacist License in Illinois | # 049061153

MICHAEL ELLENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061153

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

ELLENS

Business Name

MICHAEL ELLENS

Original Issue Date

03/22/1974

Effective Date

03/22/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005