LARRY G GOULIARD III Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212220

License Status

ACTIVE

Business

First Name

LARRY

Middle

Last Name

GOULIARD III

Business Name

LARRY G GOULIARD III

Original Issue Date

07/17/2012

Effective Date

03/11/2026

Expiration Date

03/31/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/11/2026