KENNETH ROYAL RUSSELL JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295400

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

ROYAL

Last Name

RUSSELL

Suffix

Business Name

KENNETH ROYAL RUSSELL JR

Original Issue Date

09/21/2011

Effective Date

03/03/2020

Expiration Date

07/31/2022

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2022