MARY LYNN MOODY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061692

License Status

CANCELLED

Business

First Name

MARY LYNN

Last Name

MOODY

Business Name

MARY LYNN MOODY

Original Issue Date

06/14/1974

Effective Date

06/14/1974

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/24/2007