KIMBERLY MAE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137480

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

MAE

Last Name

ELLIS

Business Name

KIMBERLY MAE ELLIS

Original Issue Date

08/03/2001

Effective Date

08/03/2001

Expiration Date

03/31/2002

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

12/06/2005