DALE A RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067528

License Status

NOT RENEWED

Business

First Name

DALE A

Last Name

RUSSELL

Business Name

DALE A RUSSELL

Original Issue Date

06/17/1977

Effective Date

06/17/1977

Expiration Date

01/01/1997

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005