RANDALL S VAUGHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202325

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

VAUGHAN

Prefix

Business Name

RANDALL S VAUGHAN

Original Issue Date

01/15/2011

Effective Date

01/15/2011

Expiration Date

03/31/2012

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/07/2012