OTESTINE R GODLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172686

License Status

NOT RENEWED

Business

First Name

OTESTINE

Middle

Last Name

GODLEY

Business Name

OTESTINE R GODLEY

Original Issue Date

11/20/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008