KREIG L MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107630

License Status

NOT RENEWED

Business

First Name

KREIG L

Last Name

MOORE

Business Name

KREIG L MOORE

Original Issue Date

07/19/1994

Effective Date

07/19/1994

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005