AMANDA M GODDARD - Pharmacist License in Illinois | # 049210004

AMANDA M GODDARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210004

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

M

Last Name

GODDARD

Prefix

MR

Business Name

AMANDA M GODDARD

Original Issue Date

03/29/2012

Effective Date

03/29/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013