MELISSA LATRICE NELSON-MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123782

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

LATRICE

Last Name

NELSON-MOORE

Business Name

MELISSA LATRICE NELSON-MOORE

Original Issue Date

11/17/1998

Effective Date

01/22/2021

Expiration Date

05/31/2022

City

UNIVERSITY PARK

State

Zip

60484

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022

Case Number

2021006147

Action

Suspension

Discipline Start Date

11/08/2021

Discipline End Date

05/12/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 05/13/2022.