RUSSELL ROGER DEAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066864

License Status

NOT RENEWED

Business

First Name

RUSSELL ROGER

Last Name

DEAN

Business Name

RUSSELL ROGER DEAN

Original Issue Date

03/04/1977

Effective Date

03/04/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005