PHYLLIS ANN ELLSTEIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124822

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

ANN

Last Name

ELLSTEIN

Business Name

PHYLLIS ANN ELLSTEIN

Original Issue Date

02/25/1999

Effective Date

02/25/1999

Expiration Date

03/31/2005

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005