RUSSELL D LEVY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051015880

License Status

INACTIVE

Business

First Name

RUSSELL D

Last Name

LEVY

Business Name

RUSSELL D LEVY

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005