MOUY T POAG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118172

License Status

NOT RENEWED

Business

First Name

MOUY

Middle

Last Name

POAG

Business Name

MOUY T POAG

Original Issue Date

07/18/1997

Effective Date

07/18/1997

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005