SHANNON ADELE JEAN MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166759

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

ADELE JEAN

Last Name

MOORE

Business Name

SHANNON ADELE JEAN MOORE

Original Issue Date

03/14/2006

Effective Date

03/14/2006

Expiration Date

03/31/2007

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/14/2007