EUGENE LAVAR MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137062

License Status

NOT RENEWED

Business

First Name

EUGENE

Middle

LAVAR

Last Name

MOORE

Business Name

EUGENE LAVAR MOORE

Original Issue Date

07/03/2001

Effective Date

07/03/2001

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005