MARLA S MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149176

License Status

NOT RENEWED

Business

First Name

MARLA

Middle

Last Name

MOORE

Business Name

MARLA S MOORE

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005