ELLEN ANN SEIDEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068865

License Status

NOT RENEWED

Business

First Name

ELLEN ANN

Last Name

SEIDEL

Business Name

ELLEN ANN SEIDEL

Original Issue Date

02/17/1978

Effective Date

02/10/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022