FALLON ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242145

License Status

NOT RENEWED

Business

First Name

FALLON

Last Name

ELLIS

Prefix

Business Name

FALLON ELLIS

Original Issue Date

05/31/2016

Effective Date

02/22/2017

Expiration Date

03/31/2018

City

WALTONVILLE

State

Zip

62894

County

JEFFERSON

Ever Disciplined

LastModifiedDate

06/19/2018