TAMARA D GOETTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098330

License Status

NOT RENEWED

Business

First Name

TAMARA D

Last Name

GOETTEN

Business Name

TAMARA D GOETTEN

Original Issue Date

10/08/1991

Effective Date

10/08/1991

Expiration Date

03/31/1995

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005