BRET M RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157237

License Status

NOT RENEWED

Business

First Name

BRET

Middle

Last Name

RUSSELL

Business Name

BRET M RUSSELL

Original Issue Date

09/29/2004

Effective Date

02/21/2012

Expiration Date

03/31/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2013