NICOLE LEIGH RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136312

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LEIGH

Last Name

RUSSELL

Business Name

NICOLE LEIGH RUSSELL

Original Issue Date

05/15/2001

Effective Date

05/15/2001

Expiration Date

03/31/2002

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/06/2005