ERICA J RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152915

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

RUSSELL

Business Name

ERICA J RUSSELL

Original Issue Date

01/16/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/06/2009