RANDY DALE MALAN - Pharmacist License in Illinois | # 049053870

RANDY DALE MALAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053870

License Status

NOT RENEWED

Business

N

First Name

RANDY DALE

Last Name

MALAN

Business Name

RANDY DALE MALAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005