KRISTAL L MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115343

License Status

NOT RENEWED

Business

First Name

KRISTAL L

Last Name

MOODY

Business Name

KRISTAL L MOODY

Original Issue Date

09/23/1996

Effective Date

09/23/1996

Expiration Date

03/31/2000

City

SPARTA

State

Zip

62286

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005