JACK E MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076592

License Status

NOT RENEWED

Business

First Name

JACK E

Last Name

MOODY

Business Name

JACK E MOODY

Original Issue Date

06/22/1982

Effective Date

06/22/1982

Expiration Date

03/31/1986

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005