DELANTRA B MOORE - Pharmacist License in Illinois | # 049203647

DELANTRA B MOORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203647

License Status

NOT RENEWED

Business

N

First Name

DELANTRA

Middle

B

Last Name

MOORE

Business Name

DELANTRA B MOORE

Original Issue Date

04/13/2011

Effective Date

01/16/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014