ELISSA MARIE NEEDHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263684

License Status

NOT RENEWED

Business

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

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021