SHERREATTA A RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167126

License Status

NOT RENEWED

Business

First Name

SHERREATTA

Middle

Last Name

RUSSELL

Business Name

SHERREATTA A RUSSELL

Original Issue Date

03/30/2006

Effective Date

10/01/2010

Expiration Date

03/31/2011

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011