SANDIE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104175

License Status

NOT RENEWED

Business

First Name

SANDIE

Last Name

MOORE

Business Name

SANDIE MOORE

Original Issue Date

08/03/1993

Effective Date

08/03/1993

Expiration Date

03/31/1994

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005