ELLEN M ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212507

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

ROBERTS

Prefix

Business Name

ELLEN M ROBERTS

Original Issue Date

07/29/2012

Effective Date

03/28/2013

Expiration Date

03/31/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014