ERIN M RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115719

License Status

NOT RENEWED

Business

First Name

ERIN M

Last Name

RUSSELL

Business Name

ERIN M RUSSELL

Original Issue Date

10/24/1996

Effective Date

10/24/1996

Expiration Date

03/31/1997

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005