ANNA LISA FULGENCIO RUSSELL Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051305853

License Status

ACTIVE

Business

First Name

ANNA LISA

Middle

FULGENCIO

Last Name

RUSSELL

Business Name

ANNA LISA FULGENCIO RUSSELL

Original Issue Date

09/18/2023

Effective Date

03/04/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60630

Ever Disciplined

LastModifiedDate

03/04/2026