ELISA S NELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163124

License Status

NOT RENEWED

Business

First Name

ELISA

Middle

Last Name

NELSEN

Business Name

ELISA S NELSEN

Original Issue Date

08/22/2005

Effective Date

04/07/2011

Expiration Date

03/31/2012

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012