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 Protocol | 5/13/2015 | 5/11/2016 |
| NOI - Administration By Medical Prescription Order | 5/13/2015 | 5/11/2016 |
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
