MATTHEW PHILLIP MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123465

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

PHILLIP

Last Name

MOODY

Business Name

MATTHEW PHILLIP MOODY

Original Issue Date

10/28/1998

Effective Date

01/27/2010

Expiration Date

03/31/2011

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/12/2011