RANDY BRYCE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178693

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

BRYCE

Last Name

ELLIS

Business Name

RANDY BRYCE ELLIS

Original Issue Date

08/23/2007

Effective Date

08/23/2007

Expiration Date

03/31/2008

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008