LEE ELMER RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142809

License Status

NOT RENEWED

Business

First Name

LEE

Middle

ELMER

Last Name

RUSSELL

Business Name

LEE ELMER RUSSELL

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2004

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/20/2005