SUSAN L RUSSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126514

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

RUSSO

Business Name

SUSAN L RUSSO

Original Issue Date

06/25/1999

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010