RUSSELL T TRELEVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019714

License Status

NOT RENEWED

Business

First Name

RUSSELL T

Last Name

TRELEVEN

Business Name

RUSSELL T TRELEVEN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005