JACEY BETH GOETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124775

License Status

NOT RENEWED

Business

First Name

JACEY

Middle

BETH

Last Name

GOETZ

Business Name

JACEY BETH GOETZ

Original Issue Date

02/22/1999

Effective Date

02/22/1999

Expiration Date

03/31/2001

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005