MACKENZIE RAE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258016

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

RAE

Last Name

ELLIS

Business Name

MACKENZIE RAE ELLIS

Original Issue Date

05/17/2018

Effective Date

05/17/2022

Expiration Date

03/31/2023

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/07/2023