JAY MICHAEL GOLDMAN - Pharmacist License in Illinois | # 049062267

JAY MICHAEL GOLDMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062267

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005