JESSICA DENISE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125038

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

DENISE

Last Name

ELLIS

Business Name

JESSICA DENISE ELLIS

Original Issue Date

03/17/1999

Effective Date

03/17/1999

Expiration Date

03/31/2001

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005