GABRIELLE P RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195265

License Status

NOT RENEWED

Business

First Name

GABRIELLE

Middle

Last Name

RANDOLPH

Business Name

GABRIELLE P RANDOLPH

Original Issue Date

11/11/2009

Effective Date

11/11/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010