JENNIFER CHRISTINE ELLISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103735

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

CHRISTINE

Last Name

ELLISON

Business Name

JENNIFER CHRISTINE ELLISON

Original Issue Date

06/15/1993

Effective Date

06/15/1993

Expiration Date

03/31/1998

City

MAROA

State

Zip

61756

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005