STEPHANIE G MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079435

License Status

NOT RENEWED

Business

First Name

STEPHANIE G

Last Name

MOORE

Business Name

STEPHANIE G MOORE

Original Issue Date

01/27/1984

Effective Date

01/27/1984

Expiration Date

03/31/1986

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005