Licensee Name:ELLIS JOHN R
License Type:PHARMACY TECHNICIAN
License Number:24609
License Status:CLEAR Definition
Expiration Date:August 31, 2015
Issue Date:December 15, 1997
Address:PO BOX 11515
City:ZEPHYR COVE
State:NV
Zip:89448
County:OUT OF STATE
Actions:No
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