RUSSELL B KROCHOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142586

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

KROCHOCK

Business Name

RUSSELL B KROCHOCK

Original Issue Date

05/24/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007