ANGELA RENEE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118803

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

RENEE

Last Name

ELLIS

Business Name

ANGELA RENEE ELLIS

Original Issue Date

09/05/1997

Effective Date

09/05/1997

Expiration Date

03/31/1998

City

BROOKPORT

State

Zip

62910

County

MASSAC

Ever Disciplined

LastModifiedDate

10/17/2005