THERESA KAY MOFFETT Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071604

License Status

CANCELLED

Business

First Name

THERESA KAY

Last Name

MOFFETT

Business Name

THERESA KAY MOFFETT

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005