ELLEN M DEAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077079

License Status

NOT RENEWED

Business

First Name

ELLEN M

Last Name

DEAN

Business Name

ELLEN M DEAN

Original Issue Date

10/01/1982

Effective Date

10/01/1982

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005