KEITH E ELLIS - Pharmacist License in Illinois | # 049141199

KEITH E ELLIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141199

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

E

Last Name

ELLIS

Business Name

KEITH E ELLIS

Original Issue Date

03/06/2002

Effective Date

03/19/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014