ELLAJANE COUSINS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181377

License Status

INACTIVE

Business

First Name

ELLAJANE

Last Name

COUSINS

Business Name

ELLAJANE COUSINS

Original Issue Date

01/04/2008

Effective Date

03/18/2010

Expiration Date

03/31/2011

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

02/10/2011