TAMMY S MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158204

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

MOORE

Business Name

TAMMY S MOORE

Original Issue Date

12/07/2004

Effective Date

12/07/2004

Expiration Date

03/31/2006

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2006