NANCY LOU MOULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164721

License Status

NOT RENEWED

Business

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

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015