WANDA JANE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137902

License Status

NOT RENEWED

Business

First Name

WANDA

Middle

JANE

Last Name

MOORE

Business Name

WANDA JANE MOORE

Original Issue Date

08/30/2001

Effective Date

03/12/2015

Expiration Date

03/31/2016

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016