STEPHANIE S MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208066

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MOORE

Business Name

STEPHANIE S MOORE

Original Issue Date

11/30/2011

Effective Date

11/30/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012