LAURA MARIE MOEN-FTACEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128381

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

MARIE

Last Name

MOEN-FTACEK

Business Name

LAURA MARIE MOEN-FTACEK

Original Issue Date

11/24/1999

Effective Date

11/24/1999

Expiration Date

03/31/2000

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005