ELLEN ANN JARVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149318

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

ANN

Last Name

JARVIS

Business Name

ELLEN ANN JARVIS

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

03/31/2005

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/20/2005