NIKKI NICOLE GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194127

License Status

NOT RENEWED

Business

First Name

NIKKI

Middle

NICOLE

Last Name

GOODMAN

Business Name

NIKKI NICOLE GOODMAN

Original Issue Date

09/09/2009

Effective Date

09/09/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010