RANDY WALTER IVANOV Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051307021

License Status

ACTIVE

Business

First Name

RANDY

Middle

WALTER

Last Name

IVANOV

Business Name

RANDY WALTER IVANOV

Original Issue Date

04/29/2025

Effective Date

02/04/2026

Expiration Date

03/31/2028

City

INDIANAPOLIS

State

Zip

46239

Ever Disciplined

LastModifiedDate

02/04/2026