LATRESA RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091893

License Status

NOT RENEWED

Business

First Name

LATRESA

Last Name

RUSSELL

Business Name

LATRESA RUSSELL

Original Issue Date

12/22/1989

Effective Date

12/22/1989

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005