AMANDA J ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221137

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

ELLIS

Prefix

Business Name

AMANDA J ELLIS

Original Issue Date

09/28/2013

Effective Date

09/28/2013

Expiration Date

03/31/2014

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

05/06/2014