WANDA J MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158741

License Status

NOT RENEWED

Business

First Name

WANDA

Middle

Last Name

MOORE

Business Name

WANDA J MOORE

Original Issue Date

01/04/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

05/14/2007