RANDI JEAN MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134116

License Status

NOT RENEWED

Business

First Name

RANDI

Middle

JEAN

Last Name

MOODY

Business Name

RANDI JEAN MOODY

Original Issue Date

12/19/2000

Effective Date

12/19/2000

Expiration Date

03/31/2006

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006