KHANDYSS LASHAUN MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162829

License Status

NOT RENEWED

Business

First Name

KHANDYSS

Middle

LASHAUN

Last Name

MOORE

Business Name

KHANDYSS LASHAUN MOORE

Original Issue Date

08/08/2005

Effective Date

04/25/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009