ROBERT D GOODWINE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031231

License Status

INACTIVE

Business

First Name

ROBERT D

Last Name

GOODWINE

Business Name

ROBERT D GOODWINE

Original Issue Date

11/03/1976

Effective Date

11/03/1976

Expiration Date

03/31/1986

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005