MARISSA RENEE MOATON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152764

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005