ANTHONY M ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220172

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

ELLIS

Prefix

Business Name

ANTHONY M ELLIS

Original Issue Date

08/21/2013

Effective Date

03/18/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015