RUSSELL JOHN VANN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024496

License Status

INACTIVE

Business

First Name

RUSSELL JOHN

Last Name

VANN

Business Name

RUSSELL JOHN VANN

Original Issue Date

02/13/1959

Effective Date

02/22/2010

Expiration Date

03/31/2012

City

SIERRA VISTA

State

Zip

85635

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/12/2012