RANDY ALLAN MOUND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290025

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

ALLAN

Last Name

MOUND

Business Name

RANDY ALLAN MOUND

Original Issue Date

07/26/2004

Effective Date

02/04/2016

Expiration Date

03/31/2018

City

FISHERS

State

Zip

46038

County

INDIANA

Ever Disciplined

LastModifiedDate

06/19/2018