AMY B ELLENWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083840

License Status

NOT RENEWED

Business

First Name

AMY B

Last Name

ELLENWOOD

Business Name

AMY B ELLENWOOD

Original Issue Date

03/02/1987

Effective Date

03/02/1987

Expiration Date

03/31/1993

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005