JACOB ELLENBY - Pharmacist License in Illinois | # 051016415

JACOB ELLENBY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051016415

License Status

NOT RENEWED

Business

N

First Name

JACOB

Last Name

ELLENBY

Business Name

JACOB ELLENBY

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005