RUSSELL ROGER DEAN - Pharmacist License in Illinois | # 049066864

RUSSELL ROGER DEAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066864

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005