ELLEN ANNA SHEPHERD - Pharmacist License in Illinois | # 049163239

ELLEN ANNA SHEPHERD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163239

License Status

NOT RENEWED

Business

N

First Name

ELLEN

Middle

ANNA

Last Name

SHEPHERD

Business Name

ELLEN ANNA SHEPHERD

Original Issue Date

08/25/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007