AUDRA LEA RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202471

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

LEA

Last Name

RUSSELL

Business Name

AUDRA LEA RUSSELL

Original Issue Date

01/25/2011

Effective Date

03/06/2014

Expiration Date

03/31/2015

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

05/11/2015