DIRK ANTHONY MOORE - Pharmacist License in Illinois | # 049154640

DIRK ANTHONY MOORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154640

License Status

NOT RENEWED

Business

N

First Name

DIRK

Middle

ANTHONY

Last Name

MOORE

Business Name

DIRK ANTHONY MOORE

Original Issue Date

05/28/2004

Effective Date

05/28/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005