REGINALD RANDOLP ROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056533

License Status

NOT RENEWED

Business

First Name

REGINALD RANDOLP

Last Name

ROSS

Business Name

REGINALD RANDOLP ROSS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005