TYRA JOHNSON RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245710

License Status

NOT RENEWED

Business

First Name

TYRA

Last Name

JOHNSON RUSSELL

Business Name

TYRA JOHNSON RUSSELL

Original Issue Date

10/25/2016

Effective Date

10/25/2016

Expiration Date

03/31/2017

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017