MARK PATRICK RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057917

License Status

NOT RENEWED

Business

First Name

MARK PATRICK

Last Name

RUSSELL

Business Name

MARK PATRICK RUSSELL

Original Issue Date

06/17/1972

Effective Date

06/17/1972

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005