LISA C RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142212

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

RUSSELL

Business Name

LISA C RUSSELL

Original Issue Date

05/08/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/14/2007