RANDALL VAN BOXTEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071697

License Status

NOT RENEWED

Business

First Name

RANDALL VAN

Last Name

BOXTEL

Business Name

RANDALL VAN BOXTEL

Original Issue Date

08/03/1979

Effective Date

08/03/1979

Expiration Date

03/31/1993

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005