JOHN DAVID GOODLAXSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061663

License Status

NOT RENEWED

Business

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

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005