JASON SCOTT ELLENWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128447

License Status

NOT RENEWED

Business

First Name

JASON

Middle

SCOTT

Last Name

ELLENWOOD

Business Name

JASON SCOTT ELLENWOOD

Original Issue Date

12/01/1999

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

WILDWOOD

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016