TATIANA ALEXIS MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179439

License Status

NOT RENEWED

Business

First Name

TATIANA

Middle

ALEXIS

Last Name

MOORE

Business Name

TATIANA ALEXIS MOORE

Original Issue Date

09/25/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009