PATRICIA M RUSSOTTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158658

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

RUSSOTTO

Business Name

PATRICIA M RUSSOTTO

Original Issue Date

12/29/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008