VIRGINIA GOODLAXSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064326

License Status

INACTIVE

Business

First Name

VIRGINIA

Last Name

GOODLAXSON

Business Name

VIRGINIA GOODLAXSON

Original Issue Date

10/10/1975

Effective Date

03/31/2011

Expiration Date

03/31/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/12/2012