BENJAMIN RAY ELLERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130131

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

RAY

Last Name

ELLERT

Business Name

BENJAMIN RAY ELLERT

Original Issue Date

03/21/2000

Effective Date

03/21/2000

Expiration Date

03/31/2001

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005