Randolph John Kouba
ExpiredIllinois license 049058723
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049058723
- Status
- Expired (Not Renewed)
- First issued
- November 18, 1972
- Expired
- January 1, 1997
- License holder
- Randolph John Kouba
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/18/1972
Contact
Waukegan, IL 60085
Lake County