LATONYA DENISE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156539

License Status

NOT RENEWED

Business

First Name

LATONYA

Middle

DENISE

Last Name

MOORE

Business Name

LATONYA DENISE MOORE

Original Issue Date

08/11/2004

Effective Date

08/11/2004

Expiration Date

03/31/2006

City

JUSTICE

State

Zip

60458

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007