RANDY A PETRIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121612

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

Last Name

PETRIE

Business Name

RANDY A PETRIE

Original Issue Date

06/17/1998

Effective Date

06/17/1998

Expiration Date

03/31/1999

City

PAWNEE

State

Zip

62558

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005