JENNIFER ANN GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135889

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

GOODMAN

Business Name

JENNIFER ANN GOODMAN

Original Issue Date

04/17/2001

Effective Date

04/17/2001

Expiration Date

03/31/2002

City

SPRINGBAY

State

Zip

61611

County

WOODFORD

Ever Disciplined

LastModifiedDate

12/06/2005