ANASARIYAH RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281787

License Status

NOT RENEWED

Business

First Name

ANASARIYAH

Last Name

RUSSELL

Business Name

ANASARIYAH RUSSELL

Original Issue Date

04/23/2021

Effective Date

04/23/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022