GREGORY A MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176610

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

MOORE

Prefix

Business Name

GREGORY A MOORE

Original Issue Date

05/25/2007

Effective Date

05/25/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008