MICHELLE DIANE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127256

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

DIANE

Last Name

MOORE

Business Name

MICHELLE DIANE MOORE

Original Issue Date

09/01/1999

Effective Date

09/01/1999

Expiration Date

03/31/2000

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005