KASI MAE RUSSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287675

License Status

NOT RENEWED

Business

First Name

KASI

Middle

MAE

Last Name

RUSSO

Business Name

KASI MAE RUSSO

Original Issue Date

11/08/2021

Effective Date

03/22/2023

Expiration Date

03/31/2024

City

ORANGEVILLE

State

Zip

61060

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/03/2025