FAWNE RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171975

License Status

NOT RENEWED

Business

First Name

FAWNE

Last Name

RUSSELL

Business Name

FAWNE RUSSELL

Original Issue Date

10/23/2006

Effective Date

04/08/2013

Expiration Date

03/31/2014

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

05/06/2014