MICHELLE DIAN RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225952

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

DIAN

Last Name

RUSSELL

Business Name

MICHELLE DIAN RUSSELL

Original Issue Date

06/16/2014

Effective Date

06/16/2014

Expiration Date

03/31/2015

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015