BRIAN JOSEPH MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128719

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

JOSEPH

Last Name

MOORE

Business Name

BRIAN JOSEPH MOORE

Original Issue Date

12/27/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

COLUMBIA

State

Zip

62236

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007