TAMMY M RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183601

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

RANDOLPH

Business Name

TAMMY M RANDOLPH

Original Issue Date

04/16/2008

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

05/12/2011