BRUCE D GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058379

License Status

NOT RENEWED

Business

First Name

BRUCE D

Last Name

GOODMAN

Business Name

BRUCE D GOODMAN

Original Issue Date

09/06/1972

Effective Date

09/06/1972

Expiration Date

01/01/1997

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005