LEVI LEWIS MOFFERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171531

License Status

NOT RENEWED

Business

First Name

LEVI

Middle

LEWIS

Last Name

MOFFERT

Business Name

LEVI LEWIS MOFFERT

Original Issue Date

09/21/2006

Effective Date

09/21/2006

Expiration Date

03/31/2007

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007