SHAVONNA RENEE RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151451

License Status

NOT RENEWED

Business

First Name

SHAVONNA

Middle

RENEE

Last Name

RUSSELL

Business Name

SHAVONNA RENEE RUSSELL

Original Issue Date

10/08/2003

Effective Date

10/08/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005