ASHLEY NICOLE MOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137988

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

MOON

Business Name

ASHLEY NICOLE MOON

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005