JAY DOUGLAS RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073196

License Status

NOT RENEWED

Business

First Name

JAY DOUGLAS

Last Name

RUSSELL

Business Name

JAY DOUGLAS RUSSELL

Original Issue Date

06/27/1980

Effective Date

06/27/1980

Expiration Date

03/31/1997

City

HUMBOLDT

State

Zip

61931

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005