BRYAN WILLIAM RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145610

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

WILLIAM

Last Name

RUSSELL

Business Name

BRYAN WILLIAM RUSSELL

Original Issue Date

10/30/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

HENRY

State

Zip

61537

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/02/2008