ASHLEY ELIZABETH ELLSWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165833

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

ELIZABETH

Last Name

ELLSWORTH

Business Name

ASHLEY ELIZABETH ELLSWORTH

Original Issue Date

12/29/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/14/2007