LEE A ELLIOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212905

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

ELLIOTT

Prefix

Business Name

LEE A ELLIOTT

Original Issue Date

08/17/2012

Effective Date

08/17/2012

Expiration Date

03/31/2013

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013