AMANDA G RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169959

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

RANDOLPH

Business Name

AMANDA G RANDOLPH

Original Issue Date

07/12/2006

Effective Date

07/12/2006

Expiration Date

03/31/2007

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/14/2007