RANDALL J MAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105397

License Status

NOT RENEWED

Business

First Name

RANDALL J

Last Name

MAYFIELD

Business Name

RANDALL J MAYFIELD

Original Issue Date

12/02/1993

Effective Date

12/02/1993

Expiration Date

03/31/1997

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005