ELLEN K BLUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087052

License Status

NOT RENEWED

Business

First Name

ELLEN K

Last Name

BLUE

Business Name

ELLEN K BLUE

Original Issue Date

06/14/1988

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

OGDEN

State

Zip

61859

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015