DIANNA J MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199899

License Status

NOT RENEWED

Business

First Name

DIANNA

Middle

Last Name

MOORE

Business Name

DIANNA J MOORE

Original Issue Date

08/11/2010

Effective Date

01/10/2011

Expiration Date

03/31/2012

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/07/2012