WILLA M MOEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157810

License Status

NOT RENEWED

Business

First Name

WILLA

Middle

Last Name

MOEN

Business Name

WILLA M MOEN

Original Issue Date

11/10/2004

Effective Date

03/05/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61114

County

BOONE

Ever Disciplined

LastModifiedDate

09/07/2023