MARLENE D MOSS - Pharmacist License in Illinois | # 049158609

MARLENE D MOSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158609

License Status

NOT RENEWED

Business

N

First Name

MARLENE

Middle

D

Last Name

MOSS

Business Name

MARLENE D MOSS

Original Issue Date

12/27/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008