RUSSELL E DORLAND Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024003

License Status

INACTIVE

Business

First Name

RUSSELL E

Last Name

DORLAND

Business Name

RUSSELL E DORLAND

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005