STACY L RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111190

License Status

NOT RENEWED

Business

First Name

STACY L

Last Name

RUSSELL

Business Name

STACY L RUSSELL

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

03/31/1996

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005