FALLON C RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159377

License Status

NOT RENEWED

Business

First Name

FALLON

Middle

Last Name

RUSSELL

Business Name

FALLON C RUSSELL

Original Issue Date

02/24/2005

Effective Date

02/24/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006