DEBORAH FORTADO MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085139

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

FORTADO

Last Name

MOODY

Business Name

DEBORAH FORTADO MOODY

Original Issue Date

09/01/1987

Effective Date

09/01/1987

Expiration Date

03/31/1991

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/17/2005