EDWINA MICHELLE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152802

License Status

NOT RENEWED

Business

First Name

EDWINA

Middle

MICHELLE

Last Name

MOORE

Business Name

EDWINA MICHELLE MOORE

Original Issue Date

01/07/2004

Effective Date

01/07/2004

Expiration Date

03/31/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006