SUSAN D ELLSWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084386

License Status

NOT RENEWED

Business

First Name

SUSAN D

Last Name

ELLSWORTH

Business Name

SUSAN D ELLSWORTH

Original Issue Date

05/04/1987

Effective Date

05/04/1987

Expiration Date

03/31/1989

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/17/2005