JALEN D MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208218

License Status

NOT RENEWED

Business

First Name

JALEN

Middle

Last Name

MOORE

Business Name

JALEN D MOORE

Original Issue Date

12/12/2011

Effective Date

12/12/2011

Expiration Date

03/31/2012

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012