HEATHER ANN ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122918

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ANN

Last Name

ELLIS

Business Name

HEATHER ANN ELLIS

Original Issue Date

09/25/1998

Effective Date

03/20/2009

Expiration Date

03/31/2010

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/04/2010