LAVERNE RUSSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057469

License Status

NOT RENEWED

Business

First Name

LAVERNE

Last Name

RUSSO

Business Name

LAVERNE RUSSO

Original Issue Date

03/03/1972

Effective Date

03/03/1972

Expiration Date

03/31/1984

City

S HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005