MADISON C ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254987

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

ELLIS

Business Name

MADISON C ELLIS

Original Issue Date

12/12/2017

Effective Date

12/12/2017

Expiration Date

03/31/2018

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

06/19/2018