RANDOLPH R MIRANDA - Pharmacist License in Illinois | # 049154225

RANDOLPH R MIRANDA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154225

License Status

NOT RENEWED

Business

N

First Name

RANDOLPH

Middle

R

Last Name

MIRANDA

Business Name

RANDOLPH R MIRANDA

Original Issue Date

04/29/2004

Effective Date

04/29/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005