RANDOLPH HOWARD HOLLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130038

License Status

NOT RENEWED

Business

First Name

RANDOLPH

Middle

HOWARD

Last Name

HOLLAND

Business Name

RANDOLPH HOWARD HOLLAND

Original Issue Date

03/17/2000

Effective Date

03/17/2000

Expiration Date

03/31/2001

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005