ELLEN RE JEAN FRYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123615

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

RE JEAN

Last Name

FRYER

Business Name

ELLEN RE JEAN FRYER

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

03/31/2000

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005