KRYSTAL R MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168627

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

Last Name

MOORE

Business Name

KRYSTAL R MOORE

Original Issue Date

05/11/2006

Effective Date

02/10/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011