RUSSELL M PERKINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169387

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

PERKINS

Business Name

RUSSELL M PERKINS

Original Issue Date

06/19/2006

Effective Date

03/13/2009

Expiration Date

03/31/2010

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/04/2010