SUSAN R GOOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101413

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

GOOCH

Business Name

SUSAN R GOOCH

Original Issue Date

10/03/1992

Effective Date

10/03/1992

Expiration Date

03/31/1995

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005