RANDY OCTAVIAN WEST - Pharmacist License in Wisconsin | # 049133604

RANDY OCTAVIAN WEST

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133604

License Status

NOT RENEWED

Business

N

First Name

RANDY

Middle

OCTAVIAN

Last Name

WEST

Business Name

RANDY OCTAVIAN WEST

Original Issue Date

11/13/2000

Effective Date

11/13/2000

Expiration Date

03/31/2002

State

WI

Ever Disciplined

N

LastModifiedDate

12/06/2005