LEEANNE MARIE MOSELEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192095

License Status

NOT RENEWED

Business

First Name

LEEANNE

Middle

MARIE

Last Name

MOSELEY

Business Name

LEEANNE MARIE MOSELEY

Original Issue Date

06/03/2009

Effective Date

06/03/2009

Expiration Date

03/31/2010

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010