MYAH A GOFORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237295

License Status

NOT RENEWED

Business

First Name

MYAH

Middle

Last Name

GOFORTH

Prefix

Business Name

MYAH A GOFORTH

Original Issue Date

10/28/2015

Effective Date

02/06/2019

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/08/2021