MICHAEL E GOLDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077900

License Status

NOT RENEWED

Business

First Name

MICHAEL E

Last Name

GOLDMAN

Business Name

MICHAEL E GOLDMAN

Original Issue Date

02/28/1983

Effective Date

02/28/1983

Expiration Date

03/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005