RUTH ANN GOFORTH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078990

License Status

INACTIVE

Business

First Name

RUTH ANN

Last Name

GOFORTH

Business Name

RUTH ANN GOFORTH

Original Issue Date

09/27/1983

Effective Date

03/09/2011

Expiration Date

03/31/2012

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

01/12/2012