ELMER MCKISSIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152781

License Status

NOT RENEWED

Business

First Name

ELMER

Last Name

MCKISSIC

Business Name

ELMER MCKISSIC

Original Issue Date

01/05/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007