RANDOLPH S BORJA - Pharmacist License in Illinois | # 049184714

RANDOLPH S BORJA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184714

License Status

NOT RENEWED

Business

N

First Name

RANDOLPH

Middle

S

Last Name

BORJA

Business Name

RANDOLPH S BORJA

Original Issue Date

06/04/2008

Effective Date

01/12/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011