CHASTA M MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121786

License Status

NOT RENEWED

Business

First Name

CHASTA

Middle

Last Name

MOORE

Business Name

CHASTA M MOORE

Original Issue Date

06/29/1998

Effective Date

06/29/1998

Expiration Date

03/31/2002

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005