Jay Douglas Russell
ExpiredIllinois license 049073196
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049073196
- Status
- Expired (Not Renewed)
- First issued
- June 27, 1980
- Expired
- March 31, 1997
- License holder
- Jay Douglas Russell
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/27/1980
Contact
Humboldt, IL 61931
Coles County