AMANDA JEANNE RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196442

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

JEANNE

Last Name

RUSSELL

Business Name

AMANDA JEANNE RUSSELL

Original Issue Date

01/26/2010

Effective Date

01/26/2010

Expiration Date

03/31/2011

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/12/2011