MICHAEL PATRICK RUSSOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058512

License Status

NOT RENEWED

Business

First Name

MICHAEL PATRICK

Last Name

RUSSOW

Business Name

MICHAEL PATRICK RUSSOW

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005