TANEISHA KI MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195886

License Status

NOT RENEWED

Business

First Name

TANEISHA

Middle

Last Name

MOORE

Prefix

Business Name

TANEISHA KI MOORE

Original Issue Date

12/15/2009

Effective Date

12/15/2009

Expiration Date

03/31/2010

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010