PAUL JOSEPH RUSSUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153437

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

JOSEPH

Last Name

RUSSUM

Business Name

PAUL JOSEPH RUSSUM

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/31/2006

City

SHOREWOOD

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006