RUSSELL ANDREW MCGILLIVRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163459

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

ANDREW

Last Name

MCGILLIVRAY

Business Name

RUSSELL ANDREW MCGILLIVRAY

Original Issue Date

09/01/2005

Effective Date

03/16/2009

Expiration Date

03/31/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010