MEGAN MARIE RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226732

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MARIE

Last Name

RANDOLPH

Business Name

MEGAN MARIE RANDOLPH

Original Issue Date

07/25/2014

Effective Date

07/25/2014

Expiration Date

03/31/2015

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/11/2015