RANDY LEE TAYLOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060855

License Status

NOT RENEWED

Business

First Name

RANDY LEE

Last Name

TAYLOR

Business Name

RANDY LEE TAYLOR

Original Issue Date

01/18/1974

Effective Date

01/18/1974

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005