JAY MICHAEL GOLDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062267

License Status

NOT RENEWED

Business

First Name

JAY MICHAEL

Last Name

GOLDMAN

Business Name

JAY MICHAEL GOLDMAN

Original Issue Date

09/20/1974

Effective Date

09/20/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005