MICHAEL SCOTT ELLERBROEK - Pharmacist License in Illinois | # 049141843

MICHAEL SCOTT ELLERBROEK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141843

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

SCOTT

Last Name

ELLERBROEK

Business Name

MICHAEL SCOTT ELLERBROEK

Original Issue Date

04/12/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007