RANDY P BASILIIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180416

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

Last Name

BASILIIO

Business Name

RANDY P BASILIIO

Original Issue Date

11/07/2007

Effective Date

11/07/2007

Expiration Date

03/31/2008

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008