DAVID C RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086218

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

RANDOLPH

Business Name

DAVID C RANDOLPH

Original Issue Date

03/22/1988

Effective Date

03/22/1988

Expiration Date

03/31/1989

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005