SHIRLEY K GOUTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088403

License Status

NOT RENEWED

Business

First Name

SHIRLEY K

Last Name

GOUTY

Business Name

SHIRLEY K GOUTY

Original Issue Date

11/30/1988

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

COVINGTON

State

Zip

47932

County

INDIANA

Ever Disciplined

LastModifiedDate

05/12/2011