RALPH HAROLD GOODWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049046221

License Status

NOT RENEWED

Business

First Name

RALPH HAROLD

Last Name

GOODWIN

Business Name

RALPH HAROLD GOODWIN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005