JILL M MOUTRIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085376

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

MOUTRIA

Business Name

JILL M MOUTRIA

Original Issue Date

10/07/1987

Effective Date

10/07/1987

Expiration Date

03/31/1991

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005