TATIANA RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265349

License Status

NOT RENEWED

Business

First Name

TATIANA

Last Name

RUSSELL

Business Name

TATIANA RUSSELL

Original Issue Date

05/15/2019

Effective Date

01/16/2020

Expiration Date

03/31/2021

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/20/2021