CARL P RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058475

License Status

NOT RENEWED

Business

First Name

CARL P

Last Name

RUSSELL

Business Name

CARL P RUSSELL

Original Issue Date

09/30/1972

Effective Date

09/30/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005