KEITH M MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169009

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

MOODY

Business Name

KEITH M MOODY

Original Issue Date

06/02/2006

Effective Date

02/08/2011

Expiration Date

03/31/2012

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/07/2012