PHYLLIS ANN ELLSTEIN - Pharmacist License in Illinois | # 049124822

PHYLLIS ANN ELLSTEIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124822

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005