LAURA AUGUSTA GODBOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164668

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

AUGUSTA

Last Name

GODBOUT

Business Name

LAURA AUGUSTA GODBOUT

Original Issue Date

10/31/2005

Effective Date

01/27/2015

Expiration Date

03/31/2016

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016