ALYSSA MARIE GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175178

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

MARIE

Last Name

GOODMAN

Business Name

ALYSSA MARIE GOODMAN

Original Issue Date

03/28/2007

Effective Date

03/28/2007

Expiration Date

03/31/2008

City

LOUISVILLE

State

Zip

62858

County

CLAY

Ever Disciplined

LastModifiedDate

05/02/2008