ELLEN M SMALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085928

License Status

NOT RENEWED

Business

First Name

ELLEN M

Last Name

SMALL

Business Name

ELLEN M SMALL

Original Issue Date

01/26/1988

Effective Date

02/10/2009

Expiration Date

03/31/2010

City

GILBERTS

State

Zip

60136

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010