LATANYA M RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112402

License Status

NOT RENEWED

Business

First Name

LATANYA M

Last Name

RUSSELL

Business Name

LATANYA M RUSSELL

Original Issue Date

11/13/1995

Effective Date

05/23/2018

Expiration Date

03/31/2019

City

HAMMOND

State

Zip

46324

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019