JEAN LYNN ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122574

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

LYNN

Last Name

ELLIS

Business Name

JEAN LYNN ELLIS

Original Issue Date

08/25/1998

Effective Date

08/25/1998

Expiration Date

03/31/1999

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005