ELLEN GILLIAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114475

License Status

NOT RENEWED

Business

First Name

ELLEN

Last Name

GILLIAM

Business Name

ELLEN GILLIAM

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005