BRIAN E RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159054

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

RUSSELL

Business Name

BRIAN E RUSSELL

Original Issue Date

02/03/2005

Effective Date

03/07/2013

Expiration Date

03/31/2014

City

EDWARDSVILLE

State

Zip

62025

Ever Disciplined

LastModifiedDate

05/06/2014