ELLYN ROSE DEJESUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148107

License Status

NOT RENEWED

Business

First Name

ELLYN

Middle

ROSE

Last Name

DEJESUS

Business Name

ELLYN ROSE DEJESUS

Original Issue Date

04/17/2003

Effective Date

03/04/2014

Expiration Date

03/31/2015

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015