RANDALL GENE BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139456

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

GENE

Last Name

BROWN

Business Name

RANDALL GENE BROWN

Original Issue Date

12/03/2001

Effective Date

12/03/2001

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005