LANA S MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067476

License Status

NOT RENEWED

Business

First Name

LANA S

Last Name

MOODY

Business Name

LANA S MOODY

Original Issue Date

06/10/1977

Effective Date

06/10/1977

Expiration Date

03/31/1982

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005