NANCY LOU MOULTON - Pharmacist License in Illinois | # 049164721

NANCY LOU MOULTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164721

License Status

NOT RENEWED

Business

N

First Name

NANCY

Middle

LOU

Last Name

MOULTON

Business Name

NANCY LOU MOULTON

Original Issue Date

11/01/2005

Effective Date

04/07/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015