JOHN DAVID GOODLAXSON - Pharmacist License in Illinois | # 049061663

JOHN DAVID GOODLAXSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061663

License Status

NOT RENEWED

Business

N

First Name

JOHN DAVID

Last Name

GOODLAXSON

Business Name

JOHN DAVID GOODLAXSON

Original Issue Date

06/14/1974

Effective Date

06/14/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005