ELLEN THERESE GHISOLF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135800

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

THERESE

Last Name

GHISOLF

Business Name

ELLEN THERESE GHISOLF

Original Issue Date

04/11/2001

Effective Date

04/11/2001

Expiration Date

03/31/2005

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005