TRACEE L GODDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201918

License Status

NOT RENEWED

Business

First Name

TRACEE

Middle

Last Name

GODDEN

Business Name

TRACEE L GODDEN

Original Issue Date

12/14/2010

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/07/2012