DIANA E RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201395

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

RUSSELL

Prefix

Business Name

DIANA E RUSSELL

Original Issue Date

11/04/2010

Effective Date

04/24/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013