MARY ELIZABETH M MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057506

License Status

NOT RENEWED

Business

First Name

MARY ELIZABETH M

Last Name

MOORE

Business Name

MARY ELIZABETH M MOORE

Original Issue Date

03/16/1972

Effective Date

03/16/1972

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005