SHAVONDRA LEEANN ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271503

License Status

NOT RENEWED

Business

First Name

SHAVONDRA

Middle

LEEANN

Last Name

ELLIS

Business Name

SHAVONDRA LEEANN ELLIS

Original Issue Date

03/13/2020

Effective Date

03/09/2023

Expiration Date

03/31/2024

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/03/2025