JENNY MARIE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121998

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

MARIE

Last Name

MOORE

Business Name

JENNY MARIE MOORE

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

03/31/2004

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005