Randy Octavian West
ExpiredIllinois license 049133604
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049133604
- Status
- Expired (Not Renewed)
- First issued
- November 13, 2000
- Expired
- March 31, 2002
- License holder
- Randy Octavian West
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/13/2000
Contact
Racine, WI 53403
Wisconsin County