BEVERLY JACKSON GOODMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152751

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

JACKSON

Last Name

GOODMAN

Business Name

BEVERLY JACKSON GOODMAN

Original Issue Date

01/02/2004

Effective Date

03/18/2009

Expiration Date

03/31/2010

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

05/04/2010