AMANDA GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291927

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

GOODMAN

Business Name

AMANDA GOODMAN

Original Issue Date

04/07/2022

Effective Date

04/07/2022

Expiration Date

03/31/2023

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023