JAMIE L D GOLIANIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198352

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

L D

Last Name

GOLIANIS

Business Name

JAMIE L D GOLIANIS

Original Issue Date

05/13/2010

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012