LORI BETH MORENO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126505

License Status

NOT RENEWED

Business

First Name

LORI

Middle

BETH

Last Name

MORENO

Business Name

LORI BETH MORENO

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005