RUSSIE J SPENCER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079081

License Status

NOT RENEWED

Business

First Name

RUSSIE J

Last Name

SPENCER

Business Name

RUSSIE J SPENCER

Original Issue Date

10/20/1983

Effective Date

10/20/1983

Expiration Date

03/31/1987

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005