DANA G RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190099

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

RUSSELL

Business Name

DANA G RUSSELL

Original Issue Date

03/06/2009

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011