ANDREA MONET MOULTRIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151647

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

MONET

Last Name

MOULTRIE

Business Name

ANDREA MONET MOULTRIE

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005