JUDITH A MOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113093

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

MOON

Business Name

JUDITH A MOON

Original Issue Date

01/27/1996

Effective Date

01/27/1996

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005