NATHAN R GODFREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201177

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

GODFREY

Business Name

NATHAN R GODFREY

Original Issue Date

10/21/2010

Effective Date

02/01/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012