RANDOLPH JOHN KOUBA - Pharmacist License in Illinois | # 049058723

RANDOLPH JOHN KOUBA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058723

License Status

NOT RENEWED

Business

N

First Name

RANDOLPH JOHN

Last Name

KOUBA

Business Name

RANDOLPH JOHN KOUBA

Original Issue Date

11/18/1972

Effective Date

11/18/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005