NICHOLAS M MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144775

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

MOORE

Business Name

NICHOLAS M MOORE

Original Issue Date

09/24/2002

Effective Date

04/15/2011

Expiration Date

03/31/2012

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/07/2012