RUSSELL JAMES FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160776

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

JAMES

Last Name

FUNK

Business Name

RUSSELL JAMES FUNK

Original Issue Date

05/04/2005

Effective Date

05/04/2005

Expiration Date

03/31/2006

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006