AMY MARIE GOODWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117575

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

GOODWIN

Business Name

AMY MARIE GOODWIN

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

03/31/2000

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005