ISAIAH R RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195370

License Status

NOT RENEWED

Business

First Name

ISAIAH

Middle

Last Name

RANDOLPH

Business Name

ISAIAH R RANDOLPH

Original Issue Date

11/17/2009

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012