LISA ANNE ELLINGSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131980

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANNE

Last Name

ELLINGSON

Business Name

LISA ANNE ELLINGSON

Original Issue Date

08/02/2000

Effective Date

08/02/2000

Expiration Date

03/31/2001

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/21/2005