NANCY L JELLISSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070885

License Status

NOT RENEWED

Business

First Name

NANCY L

Last Name

JELLISSEN

Business Name

NANCY L JELLISSEN

Original Issue Date

03/23/1979

Effective Date

03/23/1979

Expiration Date

01/01/1997

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005