DANA J MOXLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123439

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

MOXLEY

Business Name

DANA J MOXLEY

Original Issue Date

10/26/1998

Effective Date

10/26/1998

Expiration Date

03/31/2001

City

MANSFIELD

State

Zip

61854

County

PIATT

Ever Disciplined

LastModifiedDate

10/21/2005