LEE E ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078169

License Status

NOT RENEWED

Business

First Name

LEE E

Last Name

ELLIS

Business Name

LEE E ELLIS

Original Issue Date

04/21/1983

Effective Date

04/21/1983

Expiration Date

03/31/1984

City

RIDGE FARM

State

Zip

61870

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005