SAM GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057116

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

GOODMAN

Business Name

SAM GOODMAN

Original Issue Date

11/30/1971

Effective Date

11/30/1971

Expiration Date

03/31/1987

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005