RANDALL WAYNE MARCOTTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080491

License Status

NOT RENEWED

Business

First Name

RANDALL WAYNE

Last Name

MARCOTTE

Business Name

RANDALL WAYNE MARCOTTE

Original Issue Date

11/26/1984

Effective Date

11/26/1984

Expiration Date

03/31/1995

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005