ELISA R MOFFETT - Pharmacist License in Illinois | # 049062165

ELISA R MOFFETT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062165

License Status

NOT RENEWED

Business

N

First Name

ELISA R

Last Name

MOFFETT

Business Name

ELISA R MOFFETT

Original Issue Date

08/30/1974

Effective Date

08/30/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005