RANDI A SLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205245

License Status

NOT RENEWED

Business

First Name

RANDI

Middle

Last Name

SLACK

Business Name

RANDI A SLACK

Original Issue Date

07/10/2011

Effective Date

07/10/2011

Expiration Date

03/31/2012

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/07/2012