TIFFANY AN RUSSOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236009

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

RUSSOW

Prefix

Business Name

TIFFANY AN RUSSOW

Original Issue Date

09/02/2015

Effective Date

02/18/2016

Expiration Date

03/31/2017

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/10/2017