MATTHEW ELLIS GODWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168578

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ELLIS

Last Name

GODWIN

Business Name

MATTHEW ELLIS GODWIN

Original Issue Date

05/10/2006

Effective Date

01/19/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013