DORTHEIA KAYE GOODRUM - Pharmacist License in Illinois | # 049098004

DORTHEIA KAYE GOODRUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098004

License Status

NOT RENEWED

Business

N

First Name

DORTHEIA KAYE

Last Name

GOODRUM

Business Name

DORTHEIA KAYE GOODRUM

Original Issue Date

09/12/1991

Effective Date

09/12/1991

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005