KIMBERLY S RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096536

License Status

NOT RENEWED

Business

First Name

KIMBERLY S

Last Name

RUSSELL

Business Name

KIMBERLY S RUSSELL

Original Issue Date

04/12/1991

Effective Date

04/12/1991

Expiration Date

03/31/1997

City

PEORIA

State

Zip

61604

Ever Disciplined

LastModifiedDate

10/17/2005