SUSAN RENEE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129529

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

RENEE

Last Name

MOORE

Business Name

SUSAN RENEE MOORE

Original Issue Date

02/24/2000

Effective Date

01/29/2013

Expiration Date

03/31/2014

City

BLUE ISLAND

State

Zip

60406

Ever Disciplined

LastModifiedDate

05/06/2014