MARY JANE GOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152789

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

GOSS

Business Name

MARY JANE GOSS

Original Issue Date

01/06/2004

Effective Date

02/17/2011

Expiration Date

03/31/2012

City

EWING

State

Zip

62836

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/07/2012