LISA MARIE ELLINGSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194236

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

ELLINGSEN

Business Name

LISA MARIE ELLINGSEN

Original Issue Date

09/15/2009

Effective Date

09/15/2009

Expiration Date

03/31/2010

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/04/2010