TRAVIS C ELAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215936

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

ELAM

Business Name

TRAVIS C ELAM

Original Issue Date

02/07/2013

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

07/27/2022