RANDEL V ENARIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146382

License Status

NOT RENEWED

Business

First Name

RANDEL

Middle

Last Name

ENARIO

Business Name

RANDEL V ENARIO

Original Issue Date

12/16/2002

Effective Date

12/16/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005