SAMANTHA L MOORE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204662

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

MOORE

Business Name

SAMANTHA L MOORE

Original Issue Date

06/07/2011

Effective Date

06/07/2011

Expiration Date

03/31/2012

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

01/12/2012