RUSSELL NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059166

License Status

NOT RENEWED

Business

First Name

RUSSELL

Last Name

NELSON

Business Name

RUSSELL NELSON

Original Issue Date

03/02/1973

Effective Date

03/02/1973

Expiration Date

01/01/1997

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005