KYLE EDWARD ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159877

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

EDWARD

Last Name

ELLIS

Business Name

KYLE EDWARD ELLIS

Original Issue Date

04/05/2005

Effective Date

04/05/2005

Expiration Date

03/31/2006

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006