JENNAH T RUSSUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188326

License Status

NOT RENEWED

Business

First Name

JENNAH

Middle

Last Name

RUSSUM

Prefix

Business Name

JENNAH T RUSSUM

Original Issue Date

11/19/2008

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010