LESLIE WAYNE RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059242

License Status

NOT RENEWED

Business

First Name

LESLIE WAYNE

Last Name

RUSSELL

Business Name

LESLIE WAYNE RUSSELL

Original Issue Date

03/16/1973

Effective Date

03/16/1973

Expiration Date

01/01/1997

City

RICHVIEW

State

Zip

62877

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/17/2005