ANNA LISA FULGENCIO RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214036

License Status

NOT RENEWED

Business

First Name

ANNA LISA

Middle

FULGENCIO

Last Name

RUSSELL

Business Name

ANNA LISA FULGENCIO RUSSELL

Original Issue Date

10/15/2012

Effective Date

02/13/2023

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60630

Ever Disciplined

LastModifiedDate

01/03/2025