ANDREA RAE GOOLSBY - Pharmacist License in Illinois | # 049115112

ANDREA RAE GOOLSBY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115112

License Status

NOT RENEWED

Business

N

First Name

ANDREA RAE

Last Name

GOOLSBY

Business Name

ANDREA RAE GOOLSBY

Original Issue Date

08/29/1996

Effective Date

08/29/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005