SAMANTHA L MOORE - Pharmacist License in Illinois | # 049204662

SAMANTHA L MOORE

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204662

License Status

INACTIVE

Business

N

First Name

SAMANTHA

Middle

L

Last Name

MOORE

Business Name

SAMANTHA L MOORE

Original Issue Date

06/07/2011

Effective Date

06/07/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2012