RUSSELL JOHN SUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136056

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

JOHN

Last Name

SUS

Business Name

RUSSELL JOHN SUS

Original Issue Date

04/25/2001

Effective Date

02/04/2016

Expiration Date

03/31/2017

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017