BRIAN EDWARD RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174868

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

EDWARD

Last Name

RUSSELL

Business Name

BRIAN EDWARD RUSSELL

Original Issue Date

03/15/2007

Effective Date

03/10/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010