BRANDON LEE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172495

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

LEE

Last Name

MOORE

Business Name

BRANDON LEE MOORE

Original Issue Date

11/14/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008