RUSSELL KENT ELISHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025547

License Status

NOT RENEWED

Business

First Name

RUSSELL KENT

Last Name

ELISHA

Business Name

RUSSELL KENT ELISHA

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

GARY

State

Zip

46403

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005