GODWIN F R KALB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157333

License Status

NOT RENEWED

Business

First Name

GODWIN

Middle

F R

Last Name

KALB

Business Name

GODWIN F R KALB

Original Issue Date

10/06/2004

Effective Date

10/06/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006