TANNER RANDALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201968

License Status

NOT RENEWED

Business

First Name

TANNER

Last Name

RANDALL

Business Name

TANNER RANDALL

Original Issue Date

12/16/2010

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/07/2012