MITCHELL BERNARD RUSSAKOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024668

License Status

NOT RENEWED

Business

First Name

MITCHELL BERNARD

Last Name

RUSSAKOW

Business Name

MITCHELL BERNARD RUSSAKOW

Original Issue Date

01/01/1997

Expiration Date

03/31/2006

City

PALM DESERT

State

Zip

92211

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/11/2006