FALONDA CHAMPALE GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250039

License Status

NOT RENEWED

Business

First Name

FALONDA

Middle

CHAMPALE

Last Name

GOODMAN

Business Name

FALONDA CHAMPALE GOODMAN

Original Issue Date

04/19/2017

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019