RANDAL KEVIN ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130887

License Status

NOT RENEWED

Business

First Name

RANDAL

Middle

KEVIN

Last Name

ROBERTS

Business Name

RANDAL KEVIN ROBERTS

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

03/31/2003

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005