ANGELA D MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157480

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

MOSS

Business Name

ANGELA D MOSS

Original Issue Date

10/15/2004

Effective Date

10/15/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005