STACI MARIE MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173931

License Status

NOT RENEWED

Business

First Name

STACI

Middle

MARIE

Last Name

MOODY

Business Name

STACI MARIE MOODY

Original Issue Date

01/25/2007

Effective Date

10/14/2009

Expiration Date

03/31/2010

City

PAXTON

State

Zip

60957

County

FORD

Ever Disciplined

LastModifiedDate

05/04/2010