JANA LOUISE RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216948

License Status

NOT RENEWED

Business

First Name

JANA

Middle

LOUISE

Last Name

RANDOLPH

Business Name

JANA LOUISE RANDOLPH

Original Issue Date

03/29/2013

Effective Date

01/30/2018

Expiration Date

03/31/2019

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/15/2019