PENNY S MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091413

License Status

NOT RENEWED

Business

First Name

PENNY S

Last Name

MOORE

Business Name

PENNY S MOORE

Original Issue Date

10/11/1989

Effective Date

02/28/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019