RYAN M RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120967

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

RUSSELL

Business Name

RYAN M RUSSELL

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

03/31/2000

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005