KIM D ELLSWORTH - Pharmacist License in Illinois | # 049151757

KIM D ELLSWORTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151757

License Status

NOT RENEWED

Business

N

First Name

KIM

Middle

D

Last Name

ELLSWORTH

Business Name

KIM D ELLSWORTH

Original Issue Date

10/21/2003

Effective Date

03/11/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021