ROSE M RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061861

License Status

NOT RENEWED

Business

First Name

ROSE M

Last Name

RUSSELL

Business Name

ROSE M RUSSELL

Original Issue Date

07/08/1974

Effective Date

07/08/1974

Expiration Date

03/31/1987

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005