ANTISHA RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252682

License Status

NOT RENEWED

Business

First Name

ANTISHA

Last Name

RUSSELL

Business Name

ANTISHA RUSSELL

Original Issue Date

09/05/2017

Effective Date

03/21/2018

Expiration Date

03/31/2019

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

07/15/2019