KRYSTAL M MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195525

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

Last Name

MOODY

Business Name

KRYSTAL M MOODY

Original Issue Date

11/23/2009

Effective Date

11/23/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010