ELLISE DANIELLE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049299329

License Status

NOT RENEWED

Business

First Name

ELLISE

Middle

DANIELLE

Last Name

ANDERSON

Business Name

ELLISE DANIELLE ANDERSON

Original Issue Date

01/24/2023

Effective Date

01/24/2023

Expiration Date

03/31/2024

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

01/03/2025