TRACY M RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114983

License Status

NOT RENEWED

Business

First Name

TRACY M

Last Name

RANDOLPH

Business Name

TRACY M RANDOLPH

Original Issue Date

08/17/1996

Effective Date

08/17/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005