JACOB ELLENBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051016415

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

ELLENBY

Business Name

JACOB ELLENBY

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005