BRENDA FAYE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154639

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

FAYE

Last Name

MOORE

Business Name

BRENDA FAYE MOORE

Original Issue Date

05/28/2004

Effective Date

05/28/2004

Expiration Date

03/31/2006

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006