WALETTA J ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071592

License Status

NOT RENEWED

Business

First Name

WALETTA J

Last Name

ELLIS

Business Name

WALETTA J ELLIS

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

03/31/1989

City

ANDALUSIA

State

Zip

61232

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005