ELLY MARIE BACK - Pharmacist License in Missouri | # 049310601

ELLY MARIE BACK

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049310601

License Status

ACTIVE

Business

N

First Name

ELLY

Middle

MARIE

Last Name

BACK

Business Name

ELLY MARIE BACK

Original Issue Date

03/20/2024

Effective Date

03/03/2025

Expiration Date

03/31/2026

State

MO

Ever Disciplined

N

LastModifiedDate

01/30/2026