LISA M RANDALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133714

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

RANDALL

Business Name

LISA M RANDALL

Original Issue Date

11/22/2000

Effective Date

11/22/2000

Expiration Date

03/31/2003

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005