AMETRIUS SHANNA LOUISE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253404

License Status

NOT RENEWED

Business

First Name

AMETRIUS

Middle

SHANNA LOUISE

Last Name

ELLIS

Business Name

AMETRIUS SHANNA LOUISE ELLIS

Original Issue Date

09/26/2017

Effective Date

09/26/2017

Expiration Date

03/31/2018

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/19/2018