LISA RENEE RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113537

License Status

NOT RENEWED

Business

First Name

LISA RENEE

Last Name

RUSSELL

Business Name

LISA RENEE RUSSELL

Original Issue Date

02/27/1996

Effective Date

02/27/1996

Expiration Date

03/31/1997

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005