ERIC DEWAYNE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138790

License Status

NOT RENEWED

Business

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

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005