STACEY L MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086849

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

MOORE

Business Name

STACEY L MOORE

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005