RANDOLPH LUNDEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282613

License Status

NOT RENEWED

Business

First Name

RANDOLPH

Last Name

LUNDEEN

Business Name

RANDOLPH LUNDEEN

Original Issue Date

05/25/2021

Effective Date

05/25/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022