JENNIFER L MOATS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098784

License Status

NOT RENEWED

Business

First Name

JENNIFER L

Last Name

MOATS

Business Name

JENNIFER L MOATS

Original Issue Date

12/02/1991

Effective Date

12/02/1991

Expiration Date

03/31/2001

City

TAYLORVILLE

State

Zip

62568

Ever Disciplined

LastModifiedDate

10/21/2005