THERESA REGINA RUSSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128140

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

REGINA

Last Name

RUSSO

Business Name

THERESA REGINA RUSSO

Original Issue Date

11/09/1999

Effective Date

02/08/2010

Expiration Date

03/31/2011

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011