SHATARA L ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188749

License Status

NOT RENEWED

Business

First Name

SHATARA

Middle

Last Name

ELLIS

Business Name

SHATARA L ELLIS

Original Issue Date

12/16/2008

Effective Date

02/19/2010

Expiration Date

03/31/2011

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011