RANDY DALE MALAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053870

License Status

NOT RENEWED

Business

First Name

RANDY DALE

Last Name

MALAN

Business Name

RANDY DALE MALAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005