AMANDA LEE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125555

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEE

Last Name

MOORE

Business Name

AMANDA LEE MOORE

Original Issue Date

04/21/1999

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

05/06/2009