RUSSELL W BANINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109702

License Status

NOT RENEWED

Business

First Name

RUSSELL W

Last Name

BANINA

Business Name

RUSSELL W BANINA

Original Issue Date

03/04/1995

Effective Date

02/17/2017

Expiration Date

03/31/2018

City

HAINESVILLE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018