ASHLEY SUZANNE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161285

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

SUZANNE

Last Name

MOORE

Business Name

ASHLEY SUZANNE MOORE

Original Issue Date

05/24/2005

Effective Date

05/24/2005

Expiration Date

03/31/2006

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006