TERRY J ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129008

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

ELLIS

Business Name

TERRY J ELLIS

Original Issue Date

01/24/2000

Effective Date

01/24/2000

Expiration Date

03/31/2003

City

EQUALITY

State

Zip

62934

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/20/2005