RANDALL KIRK ROST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117120

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

KIRK

Last Name

ROST

Business Name

RANDALL KIRK ROST

Original Issue Date

04/08/1997

Effective Date

04/08/1997

Expiration Date

03/31/1998

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005