RUSSELL H PICKENS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022466

License Status

INACTIVE

Business

First Name

RUSSELL H

Last Name

PICKENS

Business Name

RUSSELL H PICKENS

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005