COLLEEN M RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146665

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

RUSSELL

Business Name

COLLEEN M RUSSELL

Original Issue Date

01/09/2003

Effective Date

01/09/2003

Expiration Date

03/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/20/2005