SUSAN M GOODWINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093131

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

GOODWINE

Business Name

SUSAN M GOODWINE

Original Issue Date

05/18/1990

Effective Date

05/18/1990

Expiration Date

03/31/1991

City

PALESTINE

State

Zip

62451

County

CRAWFORD

Ever Disciplined

LastModifiedDate

10/17/2005