RUSSELL OWEN STEWART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158715

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

OWEN

Last Name

STEWART

Business Name

RUSSELL OWEN STEWART

Original Issue Date

01/03/2005

Effective Date

01/03/2005

Expiration Date

03/31/2006

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006