DANA D MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064339

License Status

NOT RENEWED

Business

First Name

DANA D

Last Name

MOORE

Business Name

DANA D MOORE

Original Issue Date

10/10/1975

Effective Date

10/10/1975

Expiration Date

03/31/1989

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005