ROBERT A GODBOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059455

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

GODBOUT

Business Name

ROBERT A GODBOUT

Original Issue Date

05/07/1973

Effective Date

05/07/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005