JACOB C MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198384

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

MOORE

Prefix

Business Name

JACOB C MOORE

Original Issue Date

05/14/2010

Effective Date

02/07/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013