JENNIFER ELYSE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176270

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ELYSE

Last Name

ELLIS

Business Name

JENNIFER ELYSE ELLIS

Original Issue Date

05/14/2007

Effective Date

08/10/2011

Expiration Date

03/31/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012