MICHAEL ANDREW MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124308

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ANDREW

Last Name

MOORE

Business Name

MICHAEL ANDREW MOORE

Original Issue Date

12/28/1998

Effective Date

12/28/1998

Expiration Date

03/31/2004

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005