MICHELL RAE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138004

License Status

NOT RENEWED

Business

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

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/06/2009