ANGELA D MOSS - Pharmacist License in Illinois | # 049157480

ANGELA D MOSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157480

License Status

NOT RENEWED

Business

N

First Name

ANGELA

Middle

D

Last Name

MOSS

Business Name

ANGELA D MOSS

Original Issue Date

10/15/2004

Effective Date

10/15/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005