CARRIE JO GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146450

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

GOODMAN

Business Name

CARRIE JO GOODMAN

Original Issue Date

12/19/2002

Effective Date

12/19/2002

Expiration Date

03/31/2004

City

CAMBRIA

State

Zip

62915

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005