RUSSELL P JARENCIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181744

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

JARENCIO

Business Name

RUSSELL P JARENCIO

Original Issue Date

01/25/2008

Effective Date

02/26/2009

Expiration Date

03/31/2010

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010