ANGELA NICOLE GOODALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125258

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

NICOLE

Last Name

GOODALL

Business Name

ANGELA NICOLE GOODALL

Original Issue Date

04/02/1999

Effective Date

04/02/1999

Expiration Date

03/31/2000

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005