ELISSA MARIE NEEDHAM - Pharmacist License in Illinois | # 049263684

ELISSA MARIE NEEDHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263684

License Status

NOT RENEWED

Business

N

First Name

ELISSA

Middle

MARIE

Last Name

NEEDHAM

Business Name

ELISSA MARIE NEEDHAM

Original Issue Date

03/12/2019

Effective Date

03/12/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021