MONIQUE SHANNA RANDLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156099

License Status

NOT RENEWED

Business

First Name

MONIQUE

Middle

SHANNA

Last Name

RANDLE

Business Name

MONIQUE SHANNA RANDLE

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005