KIM D ELLSWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151757

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

ELLSWORTH

Business Name

KIM D ELLSWORTH

Original Issue Date

10/21/2003

Effective Date

03/11/2020

Expiration Date

03/31/2021

City

DONNELLSON

State

Zip

62019

County

BOND

Ever Disciplined

LastModifiedDate

07/20/2021