RANDALL R IDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097697

License Status

NOT RENEWED

Business

First Name

RANDALL R

Last Name

IDE

Business Name

RANDALL R IDE

Original Issue Date

08/07/1991

Effective Date

08/07/1991

Expiration Date

03/31/1992

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005