MARISELA M RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165729

License Status

NOT RENEWED

Business

First Name

MARISELA

Middle

Last Name

RANDOLPH

Business Name

MARISELA M RANDOLPH

Original Issue Date

12/20/2005

Effective Date

04/05/2010

Expiration Date

03/31/2011

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/12/2011