JENNIFER SUSAN RUSSELBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116259

License Status

NOT RENEWED

Business

First Name

JENNIFER SUSAN

Last Name

RUSSELBURG

Business Name

JENNIFER SUSAN RUSSELBURG

Original Issue Date

12/30/1996

Effective Date

12/30/1996

Expiration Date

03/31/1997

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005