CENNETRIA RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173211

License Status

NOT RENEWED

Business

First Name

CENNETRIA

Last Name

RUSSELL

Business Name

CENNETRIA RUSSELL

Original Issue Date

12/14/2006

Effective Date

12/14/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007