DORTHEIA KAYE GOODRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098004

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005