LYNN M MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101433

License Status

NOT RENEWED

Business

First Name

LYNN M

Last Name

MOORE

Business Name

LYNN M MOORE

Original Issue Date

10/06/1992

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019