EDWIN N RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082546

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

Last Name

RUSSELL

Business Name

EDWIN N RUSSELL

Original Issue Date

05/08/1986

Effective Date

02/19/2013

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2014