EDWARD C RUSSELL III Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032423

License Status

INACTIVE

Business

First Name

EDWARD C

Last Name

RUSSELL III

Business Name

EDWARD C RUSSELL III

Original Issue Date

09/13/1978

Effective Date

02/16/2010

Expiration Date

03/31/2012

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/12/2012