LORI A MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086324

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

MOORE

Business Name

LORI A MOORE

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

03/31/2000

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005