ELISA R MOFFETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062165

License Status

NOT RENEWED

Business

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

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005