STEPHANIE KAY RUSSELL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207803

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

KAY

Last Name

RUSSELL

Business Name

STEPHANIE KAY RUSSELL

Original Issue Date

11/15/2011

Effective Date

03/21/2012

Expiration Date

03/31/2013

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

01/03/2013