BEN W MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061094

License Status

NOT RENEWED

Business

First Name

BEN W

Last Name

MOORE

Business Name

BEN W MOORE

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

01/01/1997

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005