MARLENE D MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158609

License Status

NOT RENEWED

Business

First Name

MARLENE

Middle

Last Name

MOSS

Business Name

MARLENE D MOSS

Original Issue Date

12/27/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008