AMY SUZANNE MOENCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116778

License Status

NOT RENEWED

Business

First Name

AMY

Middle

SUZANNE

Last Name

MOENCK

Business Name

AMY SUZANNE MOENCK

Original Issue Date

03/13/1997

Effective Date

03/13/1997

Expiration Date

03/31/1998

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/17/2005