BRENDA SUE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153706

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

SUE

Last Name

MOORE

Business Name

BRENDA SUE MOORE

Original Issue Date

03/16/2004

Effective Date

02/27/2012

Expiration Date

03/31/2013

City

WALNUT

State

Zip

61376

County

BUREAU

Ever Disciplined

LastModifiedDate

05/06/2013