TREY DALTON ELLISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258817

License Status

NOT RENEWED

Business

First Name

TREY

Middle

DALTON

Last Name

ELLISON

Business Name

TREY DALTON ELLISON

Original Issue Date

07/16/2018

Effective Date

05/28/2021

Expiration Date

05/31/2022

City

WALTONVILLE

State

Zip

62894

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/27/2022