STEPHANIE M RUSSELL DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253658

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

RUSSELL DAVIS

Business Name

STEPHANIE M RUSSELL DAVIS

Original Issue Date

10/11/2017

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021