LIA ELIZABETH MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145208

License Status

NOT RENEWED

Business

First Name

LIA

Middle

ELIZABETH

Last Name

MOSS

Business Name

LIA ELIZABETH MOSS

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2004

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005