PAUL ROBERT ELLSWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104341

License Status

NOT RENEWED

Business

First Name

PAUL ROBERT

Last Name

ELLSWORTH

Business Name

PAUL ROBERT ELLSWORTH

Original Issue Date

08/24/1993

Effective Date

08/24/1993

Expiration Date

03/31/1995

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005