ELLEN MARIE BROUILLETTE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049321360

License Status

ACTIVE

Business

First Name

ELLEN

Middle

MARIE

Last Name

BROUILLETTE

Business Name

ELLEN MARIE BROUILLETTE

Original Issue Date

06/19/2025

Effective Date

03/18/2026

Expiration Date

03/31/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/18/2026