ELLAJANE COUSINS - Pharmacist License in Illinois | # 049181377

ELLAJANE COUSINS

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181377

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/10/2011