ANDREA M GOATLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154867

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

GOATLEY

Business Name

ANDREA M GOATLEY

Original Issue Date

06/10/2004

Effective Date

03/26/2007

Expiration Date

03/31/2008

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008