MICHELL RAE ELLIS - Pharmacist License in Illinois | # 049138004

MICHELL RAE ELLIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138004

License Status

NOT RENEWED

Business

N

First Name

MICHELL

Middle

RAE

Last Name

ELLIS

Business Name

MICHELL RAE ELLIS

Original Issue Date

09/10/2001

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009