ANGELIA SUE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136920

License Status

NOT RENEWED

Business

First Name

ANGELIA

Middle

SUE

Last Name

ELLIS

Business Name

ANGELIA SUE ELLIS

Original Issue Date

07/02/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SMITHFIELD

State

Zip

61477

County

FULTON

Ever Disciplined

LastModifiedDate

05/14/2007