ELLEN J HARENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145117

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

HARENBERG

Business Name

ELLEN J HARENBERG

Original Issue Date

10/08/2002

Effective Date

10/08/2002

Expiration Date

03/31/2005

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005