DEANNA LYNN MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140047

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

LYNN

Last Name

MOODY

Business Name

DEANNA LYNN MOODY

Original Issue Date

01/17/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

RIDGE FARM

State

Zip

61870

County

VERMILION

Ever Disciplined

LastModifiedDate

05/14/2007