ERIC DEWAYNE MOORE - Pharmacist License in Illinois | # 049138790

ERIC DEWAYNE MOORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138790

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

DEWAYNE

Last Name

MOORE

Business Name

ERIC DEWAYNE MOORE

Original Issue Date

10/23/2001

Effective Date

10/23/2001

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005