KATHY J ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080376

License Status

NOT RENEWED

Business

First Name

KATHY J

Last Name

ELLIS

Business Name

KATHY J ELLIS

Original Issue Date

10/23/1984

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

COULTERVILLE

State

Zip

62237

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/14/2007