DEBRA K MOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073183

License Status

NOT RENEWED

Business

First Name

DEBRA K

Last Name

MOON

Business Name

DEBRA K MOON

Original Issue Date

06/27/1980

Effective Date

06/27/1980

Expiration Date

03/31/1984

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005