ALICE P MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131314

License Status

NOT RENEWED

Business

First Name

ALICE

Middle

Last Name

MOSS

Business Name

ALICE P MOSS

Original Issue Date

06/23/2000

Effective Date

06/23/2000

Expiration Date

03/31/2005

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005