ALLIE MARIE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141080

License Status

NOT RENEWED

Business

First Name

ALLIE

Middle

MARIE

Last Name

ELLIS

Business Name

ALLIE MARIE ELLIS

Original Issue Date

02/28/2002

Effective Date

02/28/2002

Expiration Date

03/31/2003

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005