TIFFANY B MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202942

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

MOORE

Prefix

Business Name

TIFFANY B MOORE

Original Issue Date

02/28/2011

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012