MARISSA RENEE MOATON - Pharmacist License in Illinois | # 049152764

MARISSA RENEE MOATON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152764

License Status

NOT RENEWED

Business

N

First Name

MARISSA

Middle

RENEE

Last Name

MOATON

Business Name

MARISSA RENEE MOATON

Original Issue Date

01/02/2004

Effective Date

01/02/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005