JADE MARIE GOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140157

License Status

NOT RENEWED

Business

First Name

JADE

Middle

MARIE

Last Name

GOFF

Business Name

JADE MARIE GOFF

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2003

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

10/20/2005