TAYLOR K ELLSWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246639

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

ELLSWORTH

Business Name

TAYLOR K ELLSWORTH

Original Issue Date

11/28/2016

Effective Date

11/28/2016

Expiration Date

03/31/2017

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/10/2017