TOMMIE RUSSELL BERRY JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155591

License Status

NOT RENEWED

Business

First Name

TOMMIE

Middle

RUSSELL

Last Name

BERRY

Suffix

Business Name

TOMMIE RUSSELL BERRY JR

Original Issue Date

06/23/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/14/2007