SIRENA B RUSSELL AMBROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103003

License Status

NOT RENEWED

Business

First Name

SIRENA

Middle

Last Name

RUSSELL AMBROSE

Business Name

SIRENA B RUSSELL AMBROSE

Original Issue Date

04/05/1993

Effective Date

04/05/1993

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005