KEITH E ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141199

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

ELLIS

Business Name

KEITH E ELLIS

Original Issue Date

03/06/2002

Effective Date

03/19/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014