ELLEN M FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077835

License Status

NOT RENEWED

Business

First Name

ELLEN M

Last Name

FUNK

Business Name

ELLEN M FUNK

Original Issue Date

02/17/1983

Effective Date

02/17/1983

Expiration Date

03/31/1984

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005