HERMAN R ELLENBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021776

License Status

NOT RENEWED

Business

First Name

HERMAN R

Last Name

ELLENBY

Business Name

HERMAN R ELLENBY

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010