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Ellis, Sandra L - Pharmacist

Ellis, Sandra L - (Pharmacist)

O Fallon, MO 63368
License# : 042672 - Issued on : 8/1/1989
Doing Business As :
Licensee Name:Ellis, Sandra L 
Profession Name:Pharmacist 
Licensee Number:042672  
Expiration Date:10/31/2016 
Original Issue Date:8/1/1989 
Address: 
Address Con't: 
City, State Zip:O Fallon, MO 63368 
County:St. Charles 
Practitioner DBA Name: 
Classification:  

Current Discipline Status:None

Certification Type:Effective Date:Expiration Date:
NOI - Administration By Protocol5/13/20155/11/2016
NOI - Administration By Medical Prescription Order5/13/20155/11/2016

Board of Pharmacy
3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO  65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists