CODY W ELLERMEYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146473

License Status

NOT RENEWED

Business

First Name

CODY

Middle

Last Name

ELLERMEYER

Business Name

CODY W ELLERMEYER

Original Issue Date

12/27/2002

Effective Date

12/27/2002

Expiration Date

03/31/2004

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/20/2005