SHANNON M MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140058

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

MOORE

Business Name

SHANNON M MOORE

Original Issue Date

01/17/2002

Effective Date

03/12/2010

Expiration Date

03/31/2011

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/12/2011