BRIENNA KRISTINE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194294

License Status

NOT RENEWED

Business

First Name

BRIENNA

Middle

KRISTINE

Last Name

MOORE

Business Name

BRIENNA KRISTINE MOORE

Original Issue Date

09/17/2009

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016