LOU ANN GOODMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126076

License Status

INACTIVE

Business

First Name

LOU ANN

Last Name

GOODMAN

Business Name

LOU ANN GOODMAN

Original Issue Date

05/26/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BLUE MOUND

State

Zip

62513

County

MACON

Ever Disciplined

LastModifiedDate

01/10/2008