MELINDA A RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131440

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

Last Name

RUSSELL

Business Name

MELINDA A RUSSELL

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

03/31/2003

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005