EDWINA MICHELLE MOORE - Pharmacist License in Illinois | # 049152802

EDWINA MICHELLE MOORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152802

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006