STEPHEN MICHAEL GOLDSWORTHY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206835

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

MICHAEL

Last Name

GOLDSWORTHY

Business Name

STEPHEN MICHAEL GOLDSWORTHY

Original Issue Date

09/21/2011

Effective Date

04/01/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/09/2014