ANDREW S ELLIOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155566

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

ELLIOTT

Business Name

ANDREW S ELLIOTT

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

03/31/2005

City

GILMAN

State

Zip

60938

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/20/2005