KRISTIN M GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107133

License Status

NOT RENEWED

Business

First Name

KRISTIN M

Last Name

GOODMAN

Business Name

KRISTIN M GOODMAN

Original Issue Date

06/09/1994

Effective Date

06/09/1994

Expiration Date

03/31/1995

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005