SUSAN A GOFORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036919

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

GOFORTH

Business Name

SUSAN A GOFORTH

Original Issue Date

04/25/1988

Effective Date

04/25/1988

Expiration Date

03/31/1992

City

LINDEN

State

Zip

75563

County

TEXAS

Ever Disciplined

LastModifiedDate

10/17/2005