WALTER L RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154772

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

Last Name

RANDOLPH

Business Name

WALTER L RANDOLPH

Original Issue Date

06/02/2004

Effective Date

06/02/2004

Expiration Date

03/31/2006

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006