ELLY MARIE BACK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049310601

License Status

ACTIVE

Business

First Name

ELLY

Middle

MARIE

Last Name

BACK

Business Name

ELLY MARIE BACK

Original Issue Date

03/20/2024

Effective Date

03/03/2025

Expiration Date

03/31/2026

City

WALNUT HILL

State

Zip

62893

County

MARION

Ever Disciplined

LastModifiedDate

01/30/2026