PAUL ROBERT ELLSWORTH - Pharmacist License in Illinois | # 049104341

PAUL ROBERT ELLSWORTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104341

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005